Individual
LESLEY BAUDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3114 FOX RD, SUITE A, JONESBORO, AR 72404-9322
(870) 933-9294
Mailing address
3114 FOX RD, SUITE A, JONESBORO, AR 72404-9322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2709
AR
Other
Enumeration date
07/05/2014
Last updated
07/05/2014
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