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Individual

ALAN GLENN DAUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2701 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4211
(879) 246-5566
Mailing address
101 PARKLAND RD, HOT SPRINGS, AR 71913-2516

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT1323
AR

Other

Enumeration date
01/23/2020
Last updated
01/23/2020
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