Individual
STEPHANIE ANN SPIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-9230
(479) 363-6422
(479) 363-6763
Mailing address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-9230
(479) 363-6422
(479) 363-6763
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A950
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-A950
NBCOT
AR
Enumeration date
05/22/2019
Last updated
06/11/2019
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