Organization
EDDY MARIE HORTON OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDA DENNIS (ACCOUNTANT)
(479) 967-2322
Entity
Organization
Contact information
Practice address
502 S HIGHWAY 27, MARSHALL, AR 72650-7638
(479) 967-2322
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
OTR2639
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069721
—
AR
Enumeration date
12/20/2013
Last updated
12/20/2013
Update your record
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