Whalio Doctors

NPI 1780821165

Sarah Danielle Jackson, OTA

Practitioner Occupational Therapy Assistant De Queen, AR

Practice location

Address
104 Mullen Dr, De Queen, AR 71832-8047
Phone
(870) 279-3150

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OT-A473 (AR)

Registry record

NPI
1780821165
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jan 2009
Record last updated
31 Aug 2010

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.