MALY DY JACKSON

CONWAY, AR
NPI1164691812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR463)
Enumeration Date2008-02-27
Last Update Date2008-02-27
Business Address
Mrs. MALY DY JACKSON OTR/L
3605 COLLEGE AVE
CONWAY, AR 72034-7377
Phone number: 501-327-2235
Mailing Address
Mrs. MALY DY JACKSON OTR/L
15 HOGAN DR
MAUMELLE, AR 72113-6410
Phone number: 501-590-3334