Individual
MRS. SHAINA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3434 ONE PL, JONESBORO, AR 72404-9335
(870) 336-0238
(870) 336-0239
Mailing address
3005 APACHE DR, JONESBORO, AR 72401-7432
(870) 336-0238
(870) 336-0239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT-A715
AR
225X00000X
Occupational Therapist
Primary
OTR3021
AR
Other
Enumeration date
01/03/2013
Last updated
01/09/2018
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