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Organization
LEAPS AND BOUNDS PEDIATRIC THERAPY
Active
Organization
LEAPS AND BOUNDS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEA ANN ROBINSON OTRL (OCCUPATIONAL THERAPIST)
(501) 730-0742
Entity
Organization
Contact information
Practice address
3060 DALLAS LOOP, CONWAY, AR 72034-8123
(501) 730-0742
(501) 730-0742
Mailing address
3060 DALLAS LOOP, CONWAY, AR 72034-8123
(501) 730-0742
(501) 730-0742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1281
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W518
BCBS SUBMITTER ID
AR
Enumeration date
12/29/2006
Last updated
08/22/2020
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