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1194999391
STEPHANIE TIBBS
CONWAY, AR
NPI
1194999391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AR 1641)
Enumeration Date
2008-04-17
Last Update Date
2009-04-03
Business Address
-- STEPHANIE TIBBS OTR/L
1700 SOUTH BLVD
CONWAY, AR 72034-6455
Phone number: 501-329-8102
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Mailing Address
-- STEPHANIE TIBBS OTR/L
1700 SOUTH BLVD
CONWAY, AR 72034-6455
Phone number: 501-329-8102
Copy
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