ERICA BLACKFORD DENT

WEST MEMPHIS, AR
NPI1891209482
Former NameERICA ANN BLACKFORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A1288)
Enumeration Date2017-11-19
Last Update Date2017-11-19
Business Address
ERICA BLACKFORD DENT COTA/L
207 BALFOUR RD
WEST MEMPHIS, AR 72301-1701
Phone number: 870-733-9950
Mailing Address
ERICA BLACKFORD DENT COTA/L
209 ROOSEVELT AVE
WEST MEMPHIS, AR 72301-3953
Phone number: 870-514-9278