Individual
MARIROSE E USSERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
10668 LYDIA LN, DANVILLE, AR 72833-6890
(479) 495-6326
(479) 495-6336
Mailing address
10668 LYDIA LN, DANVILLE, AR 72833-6890
(479) 495-6326
(479) 495-6336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR624
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
984496
NBCOT
AR
01
—
OTR624
AR STATE LIC
AR
Enumeration date
12/03/2009
Last updated
12/03/2009
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