Individual
MADISON HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S WALDRON RD STE 107, FORT SMITH, AR 72903-2568
(479) 226-3409
Mailing address
1501 S WALDRON RD STE 107, FORT SMITH, AR 72903-2568
(479) 226-3409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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