NANCY ANN WALLACE

PARAGOULD, AR
NPI1669717211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT1220)
Enumeration Date2012-12-10
Last Update Date2012-12-10
Business Address
-- NANCY ANN WALLACE COTA
2909 FRIENDSHIP RD
PARAGOULD, AR 72450-7548
Phone number: 601-624-2618
Mailing Address
-- NANCY ANN WALLACE COTA
2909 FRIENDSHIP RD
PARAGOULD, AR 72450-7548
Phone number: 601-624-2618
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