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1962010900
VICTORIA UNDERWOOD
JACKSONVILLE, AR
NPI
1962010900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR 1021)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
VICTORIA UNDERWOOD COTA/L
601 N 1ST ST
JACKSONVILLE, AR 72076-4117
Phone number: 501-308-7875
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Mailing Address
VICTORIA UNDERWOOD COTA/L
601 N 1ST ST
JACKSONVILLE, AR 72076-4117
Phone number:
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