Individual
BRACI EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5400 EUPER LN, FORT SMITH, AR 72903
(479) 755-6601
Mailing address
5400 EUPER LN, FORT SMITH, AR 72903
(870) 336-8100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1600
AR
224Z00000X
Occupational Therapy Assistant
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—
Other
Enumeration date
02/23/2021
Last updated
06/28/2022
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