Individual
MARIO PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
311 LEXINGTON AVE, FORT SMITH, AR 72901-3842
(479) 782-1444
Mailing address
311 LEXINGTON AVE, FORT SMITH, AR 72901-3842
(479) 782-1444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1835
AR
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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