Individual
BROOKE BILLINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2319 E MATTHEWS AVE, JONESBORO, AR 72401-4415
(870) 919-0274
(870) 277-4335
Mailing address
2319 E MATTHEWS AVE, JONESBORO, AR 72401-4415
(870) 919-0274
(870) 277-4335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005
COTA
AR
Enumeration date
09/08/2015
Last updated
09/08/2015
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