Individual
CODY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3434 ONE PL, JONESBORO, AR 72404-9335
(870) 336-0238
Mailing address
3434 ONE PL, JONESBORO, AR 72404-9335
(870) 336-0238
(870) 336-0239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A791
AR
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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