Individual
DR. CARLY MICHELLE WOODYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2808 FOX MEADOW LANE, JONESBORO, AR 72404-9346
(870) 335-2240
(870) 931-4457
Mailing address
2808 FOX MEADOW LANE, JONESBORO, AR 72404-9346
(870) 335-2240
(870) 931-4457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3606
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286660721
—
AR
Enumeration date
11/19/2021
Last updated
07/24/2024
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