Individual
JESSICA LEE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 520-8761
Mailing address
5707 WALCOTT RD, PARAGOULD, AR 72450-3337
(870) 476-5885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1308
AR
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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