Individual
MRS. LAURIE ANN STICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
Mailing address
405 S. THIRTY THREE AND ONE HALF ST., PARAGOULD, AR 72450
(870) 215-8642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR939
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W496
BCBS
AR
Enumeration date
02/14/2007
Last updated
07/08/2007
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