JENA L NANNY

BENTON, AR
NPI1396067542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A525)
Enumeration Date2010-02-15
Last Update Date2010-02-15
Business Address
-- JENA L NANNY COTA/L
17706 I-30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
Mailing Address
-- JENA L NANNY COTA/L
17706 I-30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414