Individual
MRS. AMBER DAWN SMYLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 STONE ST, JONESBORO, AR 72401-5332
(870) 932-5551
(870) 932-5552
Mailing address
101 SHAWNEE, WYNNE, AR 72396-8171
(501) 802-3080
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1264
AR
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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