Individual
JESSICA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S WALDRON RD STE 107, FORT SMITH, AR 72903-2568
(479) 226-3409
Mailing address
1501 S WALDRON RD STE 107, FORT SMITH, AR 72903-2568
(479) 462-4096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A906
AR
Other
Enumeration date
01/21/2016
Last updated
11/21/2024
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