Individual
ERIC CHANDLER TREADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1699 STADIUM BLVD, SUITE H, JONESBORO, AR 72401
(870) 336-0021
Mailing address
5928 NEWCASTLE DRIVE, JONESBORO, AR 72401
(870) 919-1626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT-A767
AR
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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