Amanda Tristin Drake OTR/L

NPI 1780907899 - Occupational Therapist - 225X00000X

NPI Details
NPI 1780907899
Gender Female
Enumeration Date 03/03/2010
Last Updated 03/03/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
JONESBORO AR, 72401-4519, US
Phone (870) 931-4200
Fax (870) 931-4201
Business Location
3840 HIGHWAY 358
PARAGOULD AR, 72450-9691, US
Phone (573) 421-5516
Taxonomy Code 225X00000X
License State Arkansas
License Number OTR2340
Remove 1780907899 NPI Number

According to our database, Mrs. Amanda Tristin Drake OTR/L NPI is 1780907899, taxonomy code is 225X00000X and license number is OTR2340, license state is located at Arkansas. Amanda Tristin Drake OTR/L physically located at 1220 Stone St, Jonesboro AR, 72401-4519. NPI Number Amanda Tristin Drake OTR/L has the Individual type.

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1780907899 NPI number is provided on an as is basis without warranty of any kind. 1780907899 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Tristin Drake OTR/L are for informational purposes only.