Individual
MRS. MEREDITH LAUREN WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1320 DAVIS ST, CONWAY, AR 72034-3919
(254) 652-7074
Mailing address
1320 DAVIS ST, CONWAY, AR 72034-3919
(254) 652-7074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2877
AR
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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