Individual
MRS. AMANDA BALENTINE-DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4801 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116
(501) 758-1300
Mailing address
411 HAYLEY CT, SHERWOOD, AR 72120-9681
(870) 307-7615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2268
AR
Other
Enumeration date
10/14/2009
Last updated
08/20/2018
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