Individual
ADRIENNE STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
521 SCHOOL DR, BRADLEY, AR 71826-8875
(870) 626-3307
Mailing address
2871 W COLUMBIA ROAD 62, WALDO, AR 71770-9345
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1727
AR
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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