MICHAEL DEREK LAW

RUDY, AR
NPI1417989047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR1473)
Enumeration Date2006-07-06
Last Update Date2007-07-09
Business Address
-- MICHAEL DEREK LAW
3918 PECAN GROVE RD
RUDY, AR 72952-9026
Phone number: 479-632-6337
Mailing Address
-- MICHAEL DEREK LAW
3014 W MAIN ST
CHARLESTON, AR 72933-9007
Phone number: 479-632-6337