Individual
MS. GLENDA KAY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
329 COUNTY ROAD 392, JONESBORO, AR 72401
(870) 530-7555
Mailing address
329 COUNTY ROAD 392, JONESBORO, AR 72401
(870) 530-7555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR340
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116283721
—
AR
01
—
5T749
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/22/2006
Last updated
10/31/2015
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