Individual
MRS. JENNIFER LYNN MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4516 ROGERS AVE, SUITE B-5, FORT SMITH, AR 72903-3147
(479) 782-1444
(479) 782-1477
Mailing address
4516 ROGERS AVE, SUITE B-5, FORT SMITH, AR 72903-3147
(479) 782-1444
(479) 782-1477
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1561
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145731721
—
AR
01
—
5A056
BCBS
AR
Enumeration date
01/16/2007
Last updated
04/24/2015
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