Healthcare Provider Details

I. General information

NPI: 1679685093
Provider Name (Legal Business Name): JESSICA CHERRY FINCHER MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 W CEDAR ST
POTTSVILLE AR
72858-8717
US

IV. Provider business mailing address

141 MILL CREEK DR
GREENBRIER AR
72058-9493
US

V. Phone/Fax

Practice location:
  • Phone: 501-472-1160
  • Fax:
Mailing address:
  • Phone: 501-472-1160
  • Fax: 501-679-7889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR1852
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: