Individual
MRS. STACY LYNN ALBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
119 WEST H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3211
(501) 771-7648
Mailing address
119 WEST H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3211
(501) 771-7648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1186
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137609721
—
AR
01
—
5U469
ARKANSAS BLUE CROSS
—
Enumeration date
05/08/2006
Last updated
05/28/2008
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