Individual
JESSALYN OTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
119 W H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3224
(501) 771-7648
Mailing address
119 W H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3224
(501) 771-7648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
313325
AR
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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