Individual
JESSICA BURCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
115 POINTER TRL W, VAN BUREN, AR 72956-2236
(479) 471-1290
(479) 474-5182
Mailing address
115 POINTER TRL W, VAN BUREN, AR 72956-2236
(479) 471-1290
(479) 474-5182
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1960
AR
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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