Individual
MRS. ANNA MARIE CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
42 E MAIN ST, BOONEVILLE, AR 72927-3733
(479) 965-6752
(870) 451-0222
Mailing address
PO BOX 871, CHARLESTON, AR 72933-0871
(479) 965-6752
(479) 965-2612
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR861
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134104721
—
AR
Enumeration date
01/23/2007
Last updated
07/10/2024
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