Michelle John, OTR/L Valid NPI
Individual provider · Specialist · Jacksonville, AR
- NPI
- 1417034588
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- OTR214 (AR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-09
Practice location
2615 W Main St
Jacksonville, AR 72076-4215
(501) 982-4578