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1255987426
JORDAN LEIGH SHY
BENTONVILLE, AR
NPI
1255987426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OT2019-007)
Enumeration Date
2019-08-14
Last Update Date
2023-11-27
Business Address
JORDAN LEIGH SHY OTR
910 NW 7TH ST
BENTONVILLE, AR 72712-4565
Phone number: 479-250-9838
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Mailing Address
JORDAN LEIGH SHY OTR
2275 N BLUE MESA DR
FAYETTEVILLE, AR 72703-9382
Phone number: 479-935-6654
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