KELLY ELISE JACKSON

LITTLE ROCK, AR
NPI1073998621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A986)
Enumeration Date2015-07-24
Last Update Date2015-07-24
Business Address
-- KELLY ELISE JACKSON COTA/L
8109 INTERSTATE 30
LITTLE ROCK, AR 72209-4840
Phone number: 501-562-5400
Mailing Address
-- KELLY ELISE JACKSON COTA/L
8109 INTERSTATE 30
LITTLE ROCK, AR 72209-4840
Phone number: 501-562-5400
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