ALLIE RAY BLACK

DE QUEEN, AR
NPI1639690977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A1220)
Enumeration Date2017-06-27
Last Update Date2024-06-26
Business Address
ALLIE RAY BLACK COTA
416 PULLMAN RD
DE QUEEN, AR 71832-9221
Phone number: 870-784-3353
Mailing Address
ALLIE RAY BLACK COTA
416 PULLMAN RD
DE QUEEN, AR 71832-9221
Phone number: 870-784-3353
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