Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIE D TARRESSA JACKSON
Active Sole ProprietorWILLIE D TARRESSA JACKSON is a Occupational Therapy Assistant healthcare provider located in PINE BLUFF, Arkansas. NPI 1225717515 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PINE BLUFF, AR
Registration Details
- NPI Number
- 1225717515
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2023 (2.9018176086999 yrs)
- Last Updated
- Jul 13, 2023
- License
-
LLC-15810 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1310 S LINDEN STPINE BLUFF, AR, 716033347Browse AR providers · Browse ZIP 71603
- Phone
- 8703601777
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in PINE BLUFF, AR
| Name | Credential | NPI |
|---|---|---|
| MELINDA BLACKMON | COTA | 1669527420 |
| RACHEL BRADFORD | COTA | 1124173992 |
| MS. ANGELA JACKSON | COTA | 1336352632 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.