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Individual

MISHAEL FARRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3801 JOHNSON MILL BLVD STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
(479) 856-6623
Mailing address
3801 JOHNSON MILL BLVD STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
(479) 856-6623

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2711
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTR2711
ARKANSAS STATE OCCUPATIONAL THERAPY LICENSE
AR
Enumeration date
07/07/2014
Last updated
07/07/2014
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