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1134561046
JACKIE HENDERSON
NORTH LITTLE ROCK, AR
NPI
1134561046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A706)
Enumeration Date
2013-07-19
Last Update Date
2013-07-19
Business Address
Mrs. JACKIE HENDERSON COTA/L
3333 SPRINGHILL DR
NORTH LITTLE ROCK, AR 72117-2922
Phone number: 501-202-3968
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Mailing Address
Mrs. JACKIE HENDERSON COTA/L
3333 SPRINGHILL DR
NORTH LITTLE ROCK, AR 72117-2922
Phone number:
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