Individual
JACOB SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2070 MCKENZIE RD, SUITE C, SPRINGDALE, AR 72762-0747
(479) 750-7778
Mailing address
2700 HOUSTON ST, FORT SMITH, AR 72901-7320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1085
AR
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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