Provider Demographics
NPI:1679507602
Name:FOSHEE, JAYME ELIZABETH (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JAYME
Middle Name:ELIZABETH
Last Name:FOSHEE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:JAYME
Other - Middle Name:
Other - Last Name:FOSHEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:3 MESA VERDE CV
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-5912
Mailing Address - Country:US
Mailing Address - Phone:501-622-8294
Mailing Address - Fax:
Practice Address - Street 1:400 STUTTGART HWY
Practice Address - Street 2:
Practice Address - City:ENGLAND
Practice Address - State:AR
Practice Address - Zip Code:72046-2440
Practice Address - Country:US
Practice Address - Phone:501-842-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1864225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist