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Individual

MRS. JULIANNE PATRICIA BRASWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
4301 GREATHOUSE SPRINGS ROAD, JOHNSON, AR 72741
(479) 200-6555
Mailing address
5501 WILLOW CREEK DR, STE 105, SPRINGDALE, AR 72762-8707
(479) 575-9359
(479) 575-9415

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1338
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143862721
AR
Enumeration date
05/23/2007
Last updated
01/14/2017
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