# LEAPS AND BOUNDS PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770649956
- **Authorized official:** MRS. LEA ANN ROBINSON OTRL (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (501) 730-0742

## Contact information

- **Practice address:** 3060 DALLAS LOOP, CONWAY, AR 72034-8123
- **Practice address phone:** (501) 730-0742
- **Practice address fax:** (501) 730-0742
- **Mailing address:** 3060 DALLAS LOOP, CONWAY, AR 72034-8123
- **Mailing address phone:** (501) 730-0742
- **Mailing address fax:** (501) 730-0742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTR1281 | AR | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5W518 | BCBS SUBMITTER ID | AR |