Individual
MRS. QUINN E CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,L
Contact information
Practice address
2701 T P WHITE DR, JACKSONVILLE, AR 72076-2514
(501) 241-0410
(501) 241-0125
Mailing address
2701 T P WHITE DR, JACKSONVILLE, AR 72076-2514
(501) 241-0410
(501) 241-0125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1657
AR
225XP0200X
Pediatric Occupational Therapist
OTR1657
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142923721
—
AR
Enumeration date
05/27/2006
Last updated
06/11/2019
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