Individual
JOHN ROBERT ANDRESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
922 E EMMA AVE, SPRINGDALE, AR 72764-4503
(479) 770-0788
Mailing address
224 GOODSON CT, HARRISON, AR 72601-9208
(870) 577-0034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2965
AR
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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