Individual
MISS JESSICA MICHELLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1410 W. DAISY BATES, LITTLE ROCK, AR 72202-5434
(501) 375-7811
(501) 375-1945
Mailing address
2520 W. MAIN ST., JACKSONVILLE, AR 72076-4214
(501) 982-0528
(501) 533-6326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
Primary
OTR2561
AR
Other
Enumeration date
05/08/2008
Last updated
10/26/2012
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