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Individual

MR. ZACHARY TYLER NORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
3898 COUNTY ROAD 318, BONO, AR 72416-7562
(870) 219-0829
(870) 932-1155
Mailing address
PO BOX 596, BONO, AR 72416-0596
(870) 219-0829
(870) 932-1155

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0966
AR

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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