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1275912719
TAMMY CREEKMORE
DARDANELLE, AR
NPI
1275912719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A946)
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
Mrs. TAMMY CREEKMORE COTA
12383 GALLA ROCK RD
DARDANELLE, AR 72834-7478
Phone number: 479-477-0179
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Mailing Address
Mrs. TAMMY CREEKMORE COTA
12383 GALLA ROCK RD
DARDANELLE, AR 72834-7478
Phone number: 479-477-0179
Copy