Individual
SAMANTHA BROOKE CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Mailing address
206 DOGWOOD ST, LAKE CITY, AR 72437-9707
(870) 530-6246
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1783
AR
Other
Enumeration date
11/29/2021
Last updated
05/06/2025
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