Individual
JESSICA GERMANY STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1414 W MAIN ST, JACKSONVILLE, AR 72076-4352
(501) 241-2080
Mailing address
5900 BASE MEADOWS DR, JACKSONVILLE, AR 72076-9168
(501) 241-2080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3062
AR
225X00000X
Occupational Therapist
—
AR
Other
Enumeration date
08/18/2017
Last updated
03/04/2025
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