Individual
MISS PATRICIA DIANNE MILGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
32 LAWRENCE ROAD 134, BLACK ROCK, AR 72415-9106
(870) 869-2341
Mailing address
32 LAWRENCE ROAD 134, BLACK ROCK, AR 72415-9106
(870) 869-2341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR109
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157926721
—
AR
01
—
OTR109
OCCUPATIONAL THERAPIST
AR
Enumeration date
02/27/2007
Last updated
08/02/2010
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