Individual
MRS. SARA MARIELLA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9000 ROGERS AVE SUITE B, FORT SMITH, AR 72903-5281
(479) 522-6508
Mailing address
P.O. BOX 548, PECOLA, OK 74902-0548
(479) 739-5880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9113
AR
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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