JEANEEN KIDWELL

RUDY, AR
NPI1205232741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OTA896)
Enumeration Date2014-11-11
Last Update Date2014-11-11
Business Address
-- JEANEEN KIDWELL
3918 PECAN GROVE RD
RUDY, AR 72952-9026
Phone number: 479-632-6337
Mailing Address
-- JEANEEN KIDWELL
3918 PECAN GROVE RD
RUDY, AR 72952-9026
Phone number: 479-632-6337
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