Individual
OCTAVIA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
800 JACKSON AVE E, WYNNE, AR 72396-2225
(870) 819-6220
Mailing address
27 COUNTY ROAD 366, WYNNE, AR 72396-8548
(870) 261-8561
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT607
AR
Other
Enumeration date
04/02/2015
Last updated
12/26/2017
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