Individual
MRS. AMBER ALAYNE KNUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 CHERRY ST, WARREN, AR 71671-2113
(870) 226-8500
Mailing address
418 BRADLEY ROAD 31, HERMITAGE, AR 71647-9304
(870) 820-2349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1763
AR
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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