Individual
ABBY IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 GENE GEORGE BLVD STE 1, SPRINGDALE, AR 72762-2227
(479) 750-0130
Mailing address
2575 GENE GEORGE BLVD STE 1, SPRINGDALE, AR 72762-2227
(479) 750-0130
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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