Individual
SHIANNA NICOLE CATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 CARDINAL DR, PANGBURN, AR 72121-9425
(501) 270-2562
Mailing address
152 CARDINAL DR, PANGBURN, AR 72121-9425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1233
AR
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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