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Individual

JORDAN JACKSON WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2837 MALVERN AVE, HOT SPRINGS, AR 71901-8321
(501) 262-1724
(501) 262-6227
Mailing address
2694 GOURDNECK VALLEY RD, MALVERN, AR 72104-8381
(501) 844-7169

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
07/17/2008
Last updated
07/17/2008
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