Individual
JAYLEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(602) 810-1164
Mailing address
1000 W POPLAR ST, ROGERS, AR 72756-4242
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A1768
AR
Other
Enumeration date
12/11/2021
Last updated
09/27/2024
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