Individual
MA CEDENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4407 AMARILLO STREET, BLYTHEVILLE, AR 72315
(870) 532-2229
(870) 532-8237
Mailing address
1021 WILLOW STREET, BLYTHEVILLE, AR 72315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR
AR
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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