Individual
MADISON BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT-R
Contact information
Practice address
707 N CARDINAL DR STE 4, MOUNTAIN HOME, AR 72653-3274
(870) 404-0270
(870) 701-3073
Mailing address
PO BOX 2475, MOUNTAIN HOME, AR 72654-2475
(870) 404-0270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3315
AR
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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