Individual
DUSTIN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
1909 HINSON LOOP RD, SUITE 100, LITTLE ROCK, AR 72212-3903
(501) 301-4530
Mailing address
PO BOX 241574, LITTLE ROCK, AR 72223-0011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2987
AR
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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