Individual
SHELIA CRIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1004 SE 5TH ST, BENTONVILLE, AR 72712-6032
(479) 254-6717
Mailing address
1004 SE 5TH ST, BENTONVILLE, AR 72712-6032
(479) 254-6717
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
OT-A591
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154501823
—
AR
Enumeration date
11/09/2007
Last updated
03/27/2017
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