LACI BROOKE DAVIS

JONESBORO, AR
NPI1497220396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A1412)
Enumeration Date2018-10-06
Last Update Date2018-10-06
Business Address
LACI BROOKE DAVIS COTA
3114 FOX RD
JONESBORO, AR 72404-9322
Phone number: 870-933-9294
Mailing Address
LACI BROOKE DAVIS COTA
3114 FOX RD
JONESBORO, AR 72404-9322
Phone number: 870-217-1307
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