Individual
CASSIDY SHANNON QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1107 E MATTHEWS AVE STE 105, JONESBORO, AR 72401-4315
(870) 333-5210
Mailing address
PO BOX 277, MONETTE, AR 72447-0277
(870) 919-4252
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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