Individual
MRS. BAILEY TERESA RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
601 N 1ST ST STE 4, JACKSONVILLE, AR 72076-4139
(501) 241-0410
Mailing address
909 N SAINT JOSEPH ST, MORRILTON, AR 72110-2126
(870) 224-1533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1813
AR
Other
Enumeration date
04/13/2022
Last updated
07/01/2024
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