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MRS. TESS LYNLY CONDLEY OTRL

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1467415836

Individual Registrant:
MRS. TESS LYNLY CONDLEY OTRL
Gender: F

Location and contact information for practice:
17706 I-30 STE 3 BENTON, AZ 72015 US
Tel: 501-315-4414  Fax: --

Contact information for business:
17706 I-30 STE 3 BENTON, AZ 72015 US
Tel: 501-315-4414  Fax: 501-315-3467

Registration Information:
NPI: 1467415836
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
AROTR1618

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS5X554AR01




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