Individual
DAVID WAYNE BISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
17706 I-30 STE 3, BENTON, AR 72019-2930
(501) 315-4414
(501) 315-3467
Mailing address
17706 I-30 STE 3, BENTON, AR 72019-2930
(501) 315-4414
(501) 315-3467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
O-T1031
AR
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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