Individual
EMILY BETH CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
706 OAK GROVE ST, MOUNTAIN VIEW, AR 72560-8601
(870) 269-7059
Mailing address
PO BOX 1007, BERRYVILLE, AR 72616-1007
(913) 980-8100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A695
AR
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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