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Individual

DAVID MANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
117 FOXWOOD LN, WARD, AR 72176-9448
(501) 605-6103
Mailing address
117 FOXWOOD LN, WARD, AR 72176-9448
(501) 605-6103

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT-A1008
AR
314000000X
Skilled Nursing Facility
Primary
OT-A1008
AR

Other

Enumeration date
02/26/2016
Last updated
02/26/2016
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