Individual
MRS. CHANDRA DEJARNETTE RANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
2110 MAPLE DR, MOUNTAIN VIEW, AR 72560
(870) 269-2110
Mailing address
3103 MARTIN DR, MOUNTAIN VIEW, AR 72560-6297
(870) 269-6343
(870) 269-7517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR616
AR
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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