Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OTR528 | AR |
NPI | 1306959457 |
---|---|
Provider Name | Mrs. Lori Leann Jones |
First Address | Cabot, AR 72023-3732 |
Second Address | Cabot, AR 72023-3732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |