Individual
PAULA CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 W MOLINE ST, MALVERN, AR 72104-2645
(501) 467-3166
Mailing address
721 W MAPLE ST, BENTON, AR 72015-4137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1860
AR
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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