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Individual

AMBER BRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1919 CHARMONT DR, CHARLESTON, AR 72933-8910
(479) 965-6752
Mailing address
1919 CHARMONT DR, CHARLESTON, AR 72933-8910

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT-A926
AR
225X00000X
Occupational Therapist
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207086721
AR
Enumeration date
04/24/2015
Last updated
09/26/2024
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