Individual
AMANDA DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8390 US 49 NORTH, BROOKLAND, AR 72417
(870) 932-1205
Mailing address
802 REDWOOD DR, PARAGOULD, AR 72450-5541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A947
AR
Other
Enumeration date
04/14/2015
Last updated
07/23/2025
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