Individual
PAIGE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 ACCESS RD, JONESBORO, AR 72401-7665
(870) 897-1783
Mailing address
4996 ABERDEEN RD, JONESBORO, AR 72405-8086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020004305
LICENSE
MO
Enumeration date
04/14/2020
Last updated
04/14/2020
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