Individual
MRS. TRACI O'NEAL MOUROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4315 TREE HOUSE DR, CONWAY, AR 72034-8266
(501) 208-3564
(501) 336-8235
Mailing address
4315 TREE HOUSE DR, CONWAY, AR 72034-8266
(501) 329-7064
(501) 336-8235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR799
AR
Other
Enumeration date
04/20/2006
Last updated
07/09/2007
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