CARLISA FORD

BENTON, AR
NPI1811329196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR2612)
Enumeration Date2013-08-08
Last Update Date2013-08-08
Business Address
-- CARLISA FORD
17706 I-30 STE. 3
BENTON, AR 72019-2907
Phone number: 501-315-4414
Mailing Address
-- CARLISA FORD
17706 I-30 STE. 3
BENTON, AR 72019-2907
Phone number: 501-315-4414
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