NPI 1073998621

Kelly Elise Jackson, COTAL

Practitioner Occupational Therapy Assistant Little Rock, AR

Practice location

Address: 8109 Interstate 30, Little Rock, AR 72209-4840
Phone: (501) 562-5400

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OT-A986 (AR)

Other Occupational Therapy Assistant providers in Arkansas →

Registry record

NPI: 1073998621
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2015
Record last updated: 24 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.