Individual
BRANDEN HOWARD O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
751 RANKIN ST, ASHDOWN, AR 71822-3627
(870) 898-3208
(870) 898-3709
Mailing address
2623 WOOD ST, TEXARKANA, TX 75503-4132
(903) 278-1814
(870) 898-3677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1450
AR
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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