Individual
JUSTICE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
311 LEXINGTON AVE, FORT SMITH, AR 72901-3842
(501) 912-2224
Mailing address
311 LEXINGTON AVE, FORT SMITH, AR 72901-3842
(501) 912-2224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1877
AR
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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