Individual
MADALYN DARE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 SCHOOL DR, MELBOURNE, AR 72556-8620
(870) 916-2269
Mailing address
PO BOX 72, STRAWBERRY, AR 72469-0072
(870) 283-9439
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1702
AR
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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