Jessica Johnson, COTA

NPI 1336570688 · on the registry since 2013 · sole proprietor

Practice

Address: 306 E 11th St
Russellville, AR 72801
Phone: (479) 968-1198
Fax: (479) 967-1178
Organisation at this address: Abc Children'S Academy
Abc Children'S Academy & Developmental Center-Rsvl Infant & Toddler
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas