Individual
ERICA BLACKFORD DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
207 BALFOUR RD, WEST MEMPHIS, AR 72301-1701
(870) 733-9950
Mailing address
209 ROOSEVELT AVE, WEST MEMPHIS, AR 72301-3953
(870) 514-9278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1288
AR
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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