SEANNAH ROSE SHAW

VAN BUREN, AR
NPI1255168217
Former NameSEANNAH ROSE LEWIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT2024-025)
Enumeration Date2024-09-16
Last Update Date2024-09-16
Business Address
SEANNAH ROSE SHAW COTA
4733 KIBLER RD
VAN BUREN, AR 72956-8406
Phone number: 479-268-2949
Mailing Address
SEANNAH ROSE SHAW COTA
4733 KIBLER RD
VAN BUREN, AR 72956-8406
Phone number: 479-268-2949