Individual
AMY ELIZABETH WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1425 POTTS ST, MALVERN, AR 72104-5291
(501) 337-7586
Mailing address
1168 FORD DR, MALVERN, AR 72104-6766
(501) 844-9196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1626
AR
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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