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Organization
PEDIATRIC OCCUPATIONAL THERAPY SERVICES
Active
Organization
PEDIATRIC OCCUPATIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY JO RANDOLPH OTR L (PRESIDENT)
(501) 262-0542
Entity
Organization
Contact information
Practice address
101 COLE PLACE, HOT SPRINGS, AR 71907
(501) 262-0542
Mailing address
101 COLE PLACE, HOT SPRINGS, AR 71907
(501) 262-0542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
182
AR
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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