Individual
LAUREN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 S 17TH ST, FORT SMITH, AR 72901-3836
(479) 782-1444
Mailing address
314 S 17TH ST, FORT SMITH, AR 72901-3836
(479) 782-1444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3567
AR
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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