Individual
JACQUELYNN SKAARUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 PARK DR, SUITE A, HOLIDAY ISLAND, AR 72631-9216
(479) 363-6422
(479) 363-6763
Mailing address
5415 EMERALD PARK BLVD, ARLINGTON, TX 76017-4520
(253) 861-3349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1107
AR
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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