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1295956803
BETHANY JOHNSON
BENTONVILLE, AR
NPI
1295956803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OTA462)
Enumeration Date
2007-05-01
Last Update Date
2007-07-09
Business Address
BETHANY JOHNSON OTA
2705 SE G STREET, SUITE 1
BENTONVILLE, AR 72712
Phone number: 479-273-2345
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Mailing Address
BETHANY JOHNSON OTA
P.O. BOX 585
PEA RIDGE, AR 72751
Phone number: 479-273-2345
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