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Stephen Storm Valid NPI

Individual provider · Occupational Therapy Assistant · Rudy, AR

NPI
1124459474
Type
Individual (Type 1)
Primary specialty
Occupational Therapy Assistant
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
224Z00000X
License number
OTA817 (AR)
Sex
Male
Sole proprietor
Yes
Enumerated
2013-12-11
Last updated
2015-11-18
Practice location
3028 Highway 348
Rudy, AR 72952-9564
(479) 719-1637

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