Healthcare Provider Details

I. General information

NPI: 1124205075
Provider Name (Legal Business Name): JAMIE LYNNE STEVENSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE LYNNE OLSON OTR/L

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CALELLA RD STE A
HOT SPRINGS VILLAGE AR
71909-3185
US

IV. Provider business mailing address

1635 HIGDON FERRY RD STE G
HOT SPRINGS AR
71913-6904
US

V. Phone/Fax

Practice location:
  • Phone: 501-915-8478
  • Fax:
Mailing address:
  • Phone: 501-525-2273
  • Fax: 501-525-1773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR4236
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number100387
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: