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Individual

CATHERINE DANELL MAULDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2200 FORT ROOTS DRIVE (117/NLR), NORTH LITTLE ROCK, AR 72114
(501) 257-3040
(501) 257-6419
Mailing address
3612 POPE AVE, NORTH LITTLE ROCK, AR 72116-9305
(501) 771-7720

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR130
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251694
NBCOT CERTIFICATION #
01
AR-1364-88
NDTA CERTIFICATION NUMBER
Enumeration date
08/17/2006
Last updated
07/08/2007
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