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1518507805
BLYTHE FLAKE
FORT SMITH, AR
NPI
1518507805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1398)
Enumeration Date
2020-01-14
Last Update Date
2020-01-14
Business Address
BLYTHE FLAKE COTA/L
2801 OLD GREENWOOD RD STE 14
FORT SMITH, AR 72903-4560
Phone number: 479-719-5736
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Mailing Address
BLYTHE FLAKE COTA/L
4300 ROGERS AVE STE 20
FORT SMITH, AR 72903-3152
Phone number: 479-719-5736
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