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Individual

ERIN B SHIRLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1500 N HILL ST, NEWARK, AR 72562-9544
(501) 450-6214
Mailing address
1290 WALDEN RD, CORD, AR 72524-9628
(501) 450-6214

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2079
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162363721
AR
Enumeration date
02/24/2007
Last updated
08/24/2008
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