Individual
SWADHIN PATNAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1871 FALLS BLVD N, WYNNE, AR 72396-4026
(870) 208-8989
(870) 208-8107
Mailing address
4516 KALLI DR, JONESBORO, AR 72404-8091
(573) 717-3499
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA770
AR
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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