Individual
ALLYSON KAY FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
220 GRAVEL HILL RD, SEARCY, AR 72143-8946
(501) 230-8964
Mailing address
2206 CALEB DR, SEARCY, AR 72143-3099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA119
AR
Other
Enumeration date
02/01/2007
Last updated
07/09/2007
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