Individual
DONNA RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 460-3540
(870) 460-4860
Mailing address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 460-3540
(870) 460-4860
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A620
AR
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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