Individual
AMANDA NICOLE CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5660
Mailing address
9778 SPRINGHILL FARMS DR, ALEXANDER, AR 72002-8998
(501) 588-7674
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1257
AR
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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