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Individual

MRS. EMILY VICKERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 460-3540
Mailing address
222 BRADLEY 19 RD, WARREN, AR 71671-9732

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A945
AR

Other

Enumeration date
05/07/2015
Last updated
05/08/2015
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