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LILLY BICKFORD COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1134754732

Individual Registrant:
 LILLY  BICKFORD COTA/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23 PARKCLIFF DR  HOLIDAY ISLAND, AR 72631-9230 US
Tel: 479-363-6422  Fax: --

Contact information for business:
23 PARKCLIFF DR  HOLIDAY ISLAND, AR 72631-9230 US
Tel: 479-363-6422  Fax: --

Registration Information:
NPI: 1134754732
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSEOT-A1593AR01




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