Individual
MRS. AMANDA TRISTIN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1220 STONE ST, JONESBORO, AR 72401-4519
(870) 931-4200
(870) 931-4201
Mailing address
3840 HIGHWAY 358, PARAGOULD, AR 72450-9691
(573) 421-5516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2340
AR
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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