Kelly Elise Jackson, COTA/L
NPI #1073998621 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1073998621
- Entity Type
- Individual
- Name
- Kelly Elise Jackson, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jul 24, 2015
- Last Updated
- Jul 24, 2015
Practice Location
- Address
- 8109 INTERSTATE 30
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72209-4840
- Phone
- (501) 562-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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