MICAH SELF

BRYANT, AR
NPI1356996987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2019-08-09
Last Update Date2019-08-09
Business Address
MICAH SELF
200 NW 4TH STREET
BRYANT, AR 72022
Phone number:
Mailing Address
MICAH SELF
7720 SHADY ACRES CIR
HENSLEY, AR 72065-9689
Phone number:
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