Individual
MRS. KAYLA BELL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1041 N HIGHWAY 41, FOREMAN, AR 71836-8413
(870) 381-7898
Mailing address
1041 N HIGHWAY 41, FOREMAN, AR 71836-8413
(870) 381-7898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1311
AR
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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