Individual
VIVIAN SMITH-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A072
AR
Other
Enumeration date
11/03/2010
Last updated
04/11/2012
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