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1184732752
AMANDA ELLISHA KEASTER
RUSSELLVILLE, AR
NPI
1184732752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR2066)
Enumeration Date
2006-08-25
Last Update Date
2023-07-21
Business Address
AMANDA ELLISHA KEASTER OTR/L
920 UNIVERSITY DR
RUSSELLVILLE, AR 72801-4303
Phone number: 479-967-2322
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Mailing Address
AMANDA ELLISHA KEASTER OTR/L
P.O. DRAWER 2109
RUSSELLVILLE, AR 72811-2109
Phone number: 479-967-2322
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