Individual
MRS. CASSINDA BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
9209 DOLLARWAY RD, WHITE HALL, AR 71602-2616
(870) 247-0800
Mailing address
9209 DOLLARWAY RD, WHITE HALL, AR 71602-2616
(870) 247-0800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA140
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138559721
—
AR
Enumeration date
08/30/2006
Last updated
01/29/2016
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