Individual
ASHLEY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2713 SE I ST STE 5, BENTONVILLE, AR 72712-0078
(479) 250-4355
Mailing address
2713 SE I ST STE 5, BENTONVILLE, AR 72712-0078
(479) 250-4355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3792
AR
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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