Individual
MRS. DIANNA LEIGH EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1310 POST OAK RD, MOUNTAIN HOME, AR 72653-5514
(870) 425-1247
(870) 425-1307
Mailing address
3074 COUNTY ROAD 16, MOUNTAIN HOME, AR 72653-9226
(870) 291-7218
(870) 481-5818
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
OTA573
AR
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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