Individual
AMANDA BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
701 E MAIN ST STE 16, RUSSELLVILLE, AR 72801-5209
(479) 223-5487
Mailing address
252 COUNTY ROAD 3559, CLARKSVILLE, AR 72830-7861
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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