Individual
AUSTIN CONNOR EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(816) 703-9873
Mailing address
2884 W MILLSTONE DR, FAYETTEVILLE, AR 72704-5004
(816) 703-9873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3817
AR
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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