Individual
JENNIFER JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
272 DOKE ST, WEST FORK, AR 72774-3114
(479) 799-7671
Mailing address
272 DOKE ST, WEST FORK, AR 72774-3114
(479) 799-7671
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AR
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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