Individual
MRS. MARCI MEDENWALD JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, BS, AAS
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-8754
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(972) 400-0287
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1207
AR
Other
Enumeration date
06/29/2007
Last updated
03/17/2018
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