Individual
ANDREA LAUREN MARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2220 S WALDRON RD, FORT SMITH, AR 72903-3733
(479) 434-2009
Mailing address
6130 BREWSTER CHAPEL RD, HUNTINGTON, AR 72940-9119
(479) 739-8246
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1504
AR
Other
Enumeration date
07/16/2019
Last updated
08/12/2020
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