Individual
MS. JANA S. PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 PEARL LN, BATESVILLE, AR 72501-5341
(870) 251-7591
Mailing address
31 PEARL LN, BATESVILLE, AR 72501-5341
(870) 251-7591
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A384
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14862472
—
AR
Enumeration date
01/14/2010
Last updated
01/14/2010
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