JULIAN WADE IVY

RUSSELLVILLE, AR
NPI1225547516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2017-09-29
Last Update Date2017-09-29
Business Address
JULIAN WADE IVY OT
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
Mailing Address
JULIAN WADE IVY OT
2740 COLLEGE AVE
CONWAY, AR 72034-6141
Phone number: 501-329-5459
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