Individual
ANDREA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1001 S MAIN ST, MOUNTAIN HOME, AR 72653-4763
(870) 425-1247
Mailing address
204 E RIVERDOWN, CLEVER, MO 65631-6824
(417) 274-7723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1460
AR
Other
Enumeration date
04/18/2019
Last updated
06/29/2023
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