Individual
JAYNA BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
601 S UNION ST, DE WITT, AR 72042-2727
(870) 946-1606
Mailing address
200 COOKS LAKE RD, CASSCOE, AR 72026-9627
(870) 674-8451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1865
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT-A1865
—
AR
Enumeration date
08/08/2022
Last updated
08/08/2022
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