Individual
JENNIFER LEANN ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
221 LINDLEY LN, NEWPORT, AR 72112-4954
(870) 523-2124
Mailing address
56 MCCLELLAN DR # 3694, WALNUT RIDGE, AR 72476-8155
(870) 219-2217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3206
AR
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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