Misty Ross I

NPI #1700313483 in Paragould, Arkansas

Provider Information

NPI Number: 1700313483
Entity Type: Individual
Name: Misty Ross I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 12, 2017
Last Updated: May 12, 2017

Practice Location

Address: 2705 PARK RIDGE DR
City: Paragould
State: Arkansas
ZIP Code: 72450-6013
Phone: (870) 931-2418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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