Individual
CORTNEY SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 E JOYCE BLVD, FAYETTEVILLE, AR 72703-5293
(479) 695-8066
Mailing address
4746 W CANYON RUN DR, FAYETTEVILLE, AR 72704-3401
(479) 466-0185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2662
AR
Other
Enumeration date
05/05/2017
Last updated
05/23/2025
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