Individual
ASHLEY CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2710
AR
Other
Enumeration date
10/03/2013
Last updated
04/17/2017
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