Organization
MAGNOLIA TREE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKENNA SEATS OTD, OTR/L (OCCUPATIONAL THERAPIST)
(870) 656-9933
Entity
Organization
Contact information
Practice address
81 DEVELOPMENT DR, YELLVILLE, AR 72687-7039
(870) 232-2214
Mailing address
2397 COUNTY ROAD 25, MOUNTAIN HOME, AR 72653-7282
(870) 656-9933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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