Individual
MS. ANNE ROSE MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-1737
(870) 633-1738
Mailing address
503 MEREDITH DR, MARION, AR 72364-2519
(870) 215-5678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A364
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143933721
—
AR
Enumeration date
02/06/2007
Last updated
10/18/2012
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