Individual
BRANDI DENISE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0130
Mailing address
800 MARSHALL ST # 900, LITTLE ROCK, AR 72202-3510
(479) 750-0130
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
10/29/2008
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