Individual
MORGAN CECILE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6760 HIGHWAY 63, RISON, AR 71665-9031
(870) 357-8171
Mailing address
13470 HIGHWAY 63, RISON, AR 71665-8118
(870) 370-2030
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1359
AR
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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