Individual
JLISA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2220 S WALDRON RD, FORT SMITH, AR 72903-3761
(479) 434-2371
Mailing address
3200 S 62ND ST APT 2, FORT SMITH, AR 72903-4985
(479) 831-8349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT2023-030
AR
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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