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Individual

DANYELLE DUROCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
500 AMITY RD STE 5B-295, CONWAY, AR 72032-5948
(501) 467-4995
Mailing address
500 AMITY RD STE 5B-295, CONWAY, AR 72032-5965
(501) 467-4995

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3404
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255688721
AR
Enumeration date
09/24/2020
Last updated
06/19/2023
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