Most Relevant Information
Provider Data
| NPI Number: | 1003562596 |
| Provider Name: | ALLIE DENTON |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OTR3636 |
Most Important Dates
| Enumeration Date: | 02/23/2022 |
| Last Updated: | 02/23/2022 |
Provider Practice Location
1107 E MATTHEWS AVE STE 105
JONESBORO
AR
724014315
Practice Location Phone/Fax
| Phone: | 8703335210 |
| Fax: |
Provider Mailing Location
2400 SUGAR RIDGE RD
JONESBORO
AR
724018935
Provider Mailing Phone/Fax
| Phone: | 8706803370 |
| Fax: |