Individual
MRS. LISA MERGUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2740 COLLEGE AVENUE, CONWAY, AR 72034-9310
(501) 329-5459
(501) 327-1738
Mailing address
1040 CLARENCE DR, CONWAY, AR 72034-5566
(501) 513-0338
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR889
AR
Other
Enumeration date
01/06/2007
Last updated
09/13/2007
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