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Individual

MISS TAYLOR JANE ANN WHEELESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
130 BROCKINGTON RD, SHERWOOD, AR 72120-3635
(501) 819-0553
Mailing address
3321 S BOWMAN RD APT 108, LITTLE ROCK, AR 72211-4687
(501) 821-5459

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT-A1292
AR
225X00000X
Occupational Therapist
Primary
OTR3431
AR

Other

Enumeration date
01/29/2018
Last updated
04/04/2023
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