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Individual

TAYLOR NICOLE MANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1301 MUSEUM RD, CONWAY, AR 72032-4739
(501) 358-6535
Mailing address
745 DANVILLE RD, HOT SPRINGS, AR 71901-9417
(501) 802-4225

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1748
AR

Other

Enumeration date
08/18/2021
Last updated
08/18/2021
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