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Individual

JONATHAN SCOTT JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTA

Contact information

Practice address
2220 S WALDRON RD, FORT SMITH, AR 72903-3761
(479) 434-2371
Mailing address
464 PAW PAW RD, ROLAND, OK 74954-4023
(479) 434-2371

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT2025-030
AR

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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