Micah Self

NPI #1356996987 in Bryant, Arkansas

Provider Information

NPI Number
1356996987
Entity Type
Individual
Name
Micah Self
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Aug 9, 2019
Last Updated
Aug 9, 2019

Practice Location

Address
200 NW 4TH STREET
City
Bryant
ZIP Code
72022

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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