Individual
JENNIFER JACKELYN GARIBAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
605 MENA ST, MENA, AR 71953-3339
(479) 385-1236
Mailing address
118 N PINE CIR, DE QUEEN, AR 71832-3038
(870) 279-7079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1996
AR
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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