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Individual

MR. ZACHARY RAY ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
2825 INGRAM DR, GRAND PRAIRIE, TX 75052-8348
(573) 480-4282
Mailing address
PO BOX 835, CAMDENTON, MO 65020-0835
(573) 480-4282

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210357
TX

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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