Individual
TALLI VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 424-2224
(870) 424-0493
Mailing address
91 LONE TREE DR, LAKEVIEW, AR 72642-7130
(870) 424-2224
(870) 424-0493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2393
AR
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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