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Individual

MISS KENNEDY PAIGE SNODGRASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
302 W 2ND ST, GENTRY, AR 72734-5502
(479) 736-2252
Mailing address
2203, 2203 HOPE LANE, SILOAM SPRINGS, AR 72761
(417) 621-5119

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-AA1833
AR

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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