Individual
MRS. ELIZABETH ALLRED COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR L
Contact information
Practice address
403 W MAPLE AVE, SPRINGDALE, AR 72764-5333
(479) 750-6240
(479) 750-6627
Mailing address
2762 E BIRDIE DR, FAYETTEVILLE, AR 72703-6549
(479) 443-0947
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR 1151
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U619
BCBS PROVIDER #
AR
Enumeration date
04/13/2007
Last updated
07/08/2007
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