Individual
MR. TANNER WILSON JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
3114 FOX ROAD SUITE A, JONESBORO, AR 72404
(870) 933-9294
(870) 933-9293
Mailing address
PO BOX 16011, JONESBORO, AR 72403
(870) 926-7725
(870) 933-9293
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
O-T1407
AR
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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