Individual
BRET TYLER BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD R/L
Contact information
Practice address
2402 COUNTRY CLUB RD, PARAGOULD, AR 72450-1963
(870) 236-8771
Mailing address
3603 OAK VISTA DR, JONESBORO, AR 72401-9761
(870) 530-3154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3263
AR
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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