BROOKE ELLYN MAYCUNICH

MOUNTAIN HOME, AR
NPI1871256982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A1280)
Enumeration Date2021-10-15
Last Update Date2021-10-15
Business Address
BROOKE ELLYN MAYCUNICH COTA
205 OAK TREE TER
MOUNTAIN HOME, AR 72653
Phone number: 870-321-1775
Mailing Address
BROOKE ELLYN MAYCUNICH COTA
205 OAK TREE TER
MOUNTAIN HOME, AR 72653
Phone number:
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