Individual
MRS. TAMMY CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12383 GALLA ROCK RD, DARDANELLE, AR 72834-7478
(479) 477-0179
Mailing address
12383 GALLA ROCK RD, DARDANELLE, AR 72834-7478
(479) 477-0179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A946
AR
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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