Individual
ASHLEY FAITH MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
916 E GUM ST, RUSSELLVILLE, AR 72802-8181
(479) 831-5092
Mailing address
916 E GUM ST, RUSSELLVILLE, AR 72802-8181
(479) 831-5092
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1807
AR
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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