Individual
DELLA M MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
148 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 219-1086
Mailing address
314 COUNTY ROAD 472, PIGGOTT, AR 72454-7519
(870) 598-7359
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2016034140
MO
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1164
AR
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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