Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OTR2798 | AR |
N | 225XE0001X | Environmental Modification | OTR2798 | AR |
N | 225XG0600X | Occupational Therapist - Gerontology | OTR2798 | AR |
N | 2251H1300X | Human Factors | OTR2798 | AR |
N | 225XH1300X | Human Factors | OTR2798 | AR |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OTR2798 | AR |
NPI | 1588044226 |
---|---|
Provider Name | Mary T Morrison |
First Address | Jonesboro, AR 72401-8086 |
Second Address | Jonesboro, AR 72401-8086 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2015 |
Last Update Date | 12/11/2018 |