Provider Demographics
NPI:1699221010
Name:JONES, ELIZABETH (MS, OTR)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:SCHENCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2801 OLD GREENWOOD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-4547
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2801 OLD GREENWOOD RD
Practice Address - Street 2:#14
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4547
Practice Address - Country:US
Practice Address - Phone:479-434-2371
Practice Address - Fax:479-434-2009
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2951225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics