Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackie Marie Green, OTD

Individual provider Pediatric Occupational Therapist · NPI 1861155814

Jackie Marie Green, OTD is a Pediatric Occupational Therapist in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2021.

Licensed in
AR
In the registry since
2021
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

3920 Woodland Heights Rd
Little Rock, AR 72212-2495
Phone: (501) 227-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OTR3580 (AR)

Record details

NPI number1861155814
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021

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