Individual
MATTIA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-1737
(870) 633-1738
Mailing address
PO BOX 2192, FORREST CITY, AR 72336-2192
(870) 208-8362
(870) 633-1737
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/17/2017
Last updated
02/19/2020
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