Individual
MRS. CATHERINE AMANDA RAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 W COLLEGE AVE, MONTICELLO, AR 71655-4820
(870) 367-6825
Mailing address
117 BRADLEY 16 RD, WARREN, AR 71671-9213
(870) 952-0019
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A980
AR
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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