AMANDA ELIZABETH JACKSON

BENTON, AR
NPI1861452112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR1621)
Enumeration Date2006-03-23
Last Update Date2009-09-04
Business Address
Mrs. AMANDA ELIZABETH JACKSON OTR L
121 COX ST
BENTON, AR 72015-4611
Phone number: 501-776-0691
Mailing Address
Mrs. AMANDA ELIZABETH JACKSON OTR L
121 COX ST P.O. BOX 368
BENTON, AR 72015-4611
Phone number: 501-776-0691
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