Individual
JESSICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
48 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2813
(274) 047-9582
Mailing address
4365 W APACHE TRL, FAYETTEVILLE, AR 72704-4702
(479) 719-3022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3910
AR
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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