Individual
MOLLY CAPELL TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E RACE AVE, SEARCY, AR 72143-4417
(501) 268-3400
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A1544
AR
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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