Individual
JESSICA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 474-6444
Mailing address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 474-6444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1995
OK
225X00000X
Occupational Therapist
5661
OK
225X00000X
Occupational Therapist
Primary
OTR3645
AR
Other
Enumeration date
06/30/2020
Last updated
03/28/2022
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