Eaton, Jodi Lee

Eaton, Jodi Lee is an sole proprietor health care provider with primary practice located at 3920 Woodland Heights Rd , Little Rock AR 72212-2495. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Eaton, Jodi Lee can be contacted via phone (501) 315-4414.

Contact Information

Primary practice address
3920 Woodland Heights Rd Little Rock AR 72212-2495
Phone: (501) 315-4414
Fax: (501) 315-3467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1726 Arkansas

Profile Details

NPI number 1679603799
LBN Legal business name Eaton, Jodi Lee
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Oct 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679603799 NPPES
Arkansas MEDICAID 160421721

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