Individual
MRS. CHARLOTTE B RYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2615 W MAIN ST, JACKSONVILLE, AR 72076-4215
(501) 982-4578
(501) 982-1253
Mailing address
4 BONITA CT, BENTONVILLE, AR 72712-9222
(479) 254-6717
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A360
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-A360
STATE LICENSE NUMBER
AR
Enumeration date
01/02/2007
Last updated
07/09/2007
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