Healthcare Provider Details

I. General information

NPI: 1487354965
Provider Name (Legal Business Name): JAMIE VOELZ OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 W MAPLE AVE
SPRINGDALE AR
72764-5394
US

IV. Provider business mailing address

1101 SW ANCHOR WAY APT 205
BENTONVILLE AR
72713-2139
US

V. Phone/Fax

Practice location:
  • Phone: 479-751-5711
  • Fax:
Mailing address:
  • Phone: 630-217-4147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR3288
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: