Individual
MYSTI DRINKWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(501) 766-5994
Mailing address
9 VALLEY COVE DR, CONWAY, AR 72034-2911
(501) 766-5994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2555
AR
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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