Individual
MRS. JESSICA BROOKE YOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3902 SW BOULDER ST APT 27, BENTONVILLE, AR 72713-8496
(479) 530-6441
Mailing address
3902 SW BOULDER ST APT 27, BENTONVILLE, AR 72713-8496
(479) 530-6441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1637
AR
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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