Individual
BRANDY WILSON REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3450 W 34TH AVE, PINE BLUFF, AR 71603-5508
(870) 534-7392
Mailing address
70 MOORE CIR, RISON, AR 71665-9476
(501) 208-2828
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1628
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152369721
—
AR
01
—
OTR1628
OT LICENSURE
AR
Enumeration date
01/10/2007
Last updated
09/08/2022
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