JERRICK TAYLOR BRIXEY

RUSSELLVILLE, AR
NPI1801461546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A1710)
Enumeration Date2021-05-25
Last Update Date2021-05-25
Business Address
JERRICK TAYLOR BRIXEY COTA
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
Mailing Address
JERRICK TAYLOR BRIXEY COTA
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494