Individual
MRS. JODI LEE EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3920 WOODLAND HEIGHTS RD, LITTLE ROCK, AR 72212-2495
(501) 315-4414
(501) 315-3467
Mailing address
3920 WOODLAND HEIGHTS RD, LITTLE ROCK, AR 72212-2495
(501) 227-3622
(501) 227-3601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1726
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160421721
—
AR
Enumeration date
03/07/2007
Last updated
10/20/2008
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