Individual
MRS. JADE NICOLE VERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
105 E RAY FINE BLVD STE L, ROLAND, OK 74954-5331
(918) 675-0075
(918) 675-0801
Mailing address
2 OLD GREENWOOD LN, FORT SMITH, AR 72903-6411
(479) 459-0636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2964
AR
Other
Enumeration date
09/22/2016
Last updated
10/07/2020
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