Individual
AMANDA BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176-8656
(501) 941-1522
Mailing address
5532 JFK BLVD, NORTH LITTLE ROCK, AR 72116-6708
(501) 588-3211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2043
AR
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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