BRIAN TACKETT

JONESBORO, AR
NPI1578920369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT2015-047)
Enumeration Date2016-01-25
Last Update Date2016-01-25
Business Address
-- BRIAN TACKETT
3005 APACHE DR
JONESBORO, AR 72401-7432
Phone number: 870-336-0238
Mailing Address
-- BRIAN TACKETT
3005 APACHE DR
JONESBORO, AR 72401-7432
Phone number: 870-336-0238
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