Individual
MISS MARIANNA FRANCES HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
4407 AMARILLO ST, BLYTHEVILLE, AR 72315-5702
(870) 532-2229
Mailing address
600 W MAIN ST, PARAGOULD, AR 72450-4223
(870) 240-3312
(870) 236-3103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA89
AR
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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