Individual
ETHAN PARKER BACHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
2801 OLD GREENWOOD RD STE 14, FORT SMITH, AR 72903-4560
(479) 434-2371
Mailing address
3100 BEACH ACRES DR, VAN BUREN, AR 72956-7710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3266
AR
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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