NPI 1225853070

Jaquetta Gaines

Practitioner Occupational Therapy Assistant Crossett, AR

Practice location

Address: 1507 Main St, Crossett, AR 71635-4125
Phone: (870) 364-5625
Mailing address: 130 Bluegrass Dr, Monticello, AR 71655-9167

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OT-A1162 (AR)

Other Occupational Therapy Assistant providers in Arkansas →

Registry record

NPI: 1225853070
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2024
Record last updated: 18 Nov 2024

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.