Individual
LAUREN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6815 ISAACS ORCHARD RD STE D, SPRINGDALE, AR 72762-6285
(479) 856-6400
Mailing address
2820 COLLEGE AVE APT 117, CONWAY, AR 72034-6138
(501) 581-5702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
422843
AR
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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