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Individual

MRS. STACEY LYNN MCSPADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3801 MAIN DR STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
Mailing address
1640 N VIEWPOINT DR, FAYETTEVILLE, AR 72701-2544
(479) 200-0031

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A566
AR

Other

Enumeration date
05/02/2013
Last updated
05/02/2013
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