Individual
BLAKE SOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 499-2387
Mailing address
13 TIMOTHY LN, CONWAY, AR 72034-4952
(501) 499-2387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3616
AR
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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