STACEY NICOLE BEARDEN

VAN BUREN, AR
NPI1932676798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A1199)
Enumeration Date2018-10-30
Last Update Date2018-10-30
Business Address
STACEY NICOLE BEARDEN COTA/L
913 N 24TH ST
VAN BUREN, AR 72956-3743
Phone number: 479-650-5030
Mailing Address
STACEY NICOLE BEARDEN COTA/L
4100 S S ST
FORT SMITH, AR 72903-3446
Phone number: 479-650-5030
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