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Individual

MRS. AMY MARIE RINGGOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
602 N LINCOLN ST, CABOT, AR 72023-2601
(501) 843-3363
Mailing address
296 BOBWHITE RD, LONOKE, AR 72086-8893
(501) 605-3218

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1180
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTR1180
AR STATE MEDICAL BOARD
AR
Enumeration date
09/28/2011
Last updated
09/28/2011
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