Individual
JESSICA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
518 E FRONT ST, LONOKE, AR 72086-3262
(501) 676-2786
Mailing address
2 WINDSTONE DR, SHERWOOD, AR 72120-2017
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A880
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-A880
AR STATE MEDICAL BOARD LICENSE NUMBER
AR
Enumeration date
07/24/2014
Last updated
07/24/2014
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