Individual
MRS. MARY ELIZABETH ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 624-6468
Mailing address
77 VILLAGE TER, MABELVALE, AR 72103-2502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A659
AR
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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