Organization
OZARKS OCCUPATIONAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAH CAROL MOTZKO OTR (SECRETARY)
(870) 480-9085
Entity
Organization
Contact information
Practice address
909 W MAIN ST, GREEN FOREST, AR 72638-2316
(870) 480-9085
Mailing address
1401 VICKIE CIR, BERRYVILLE, AR 72616-5202
(870) 480-9085
(870) 480-9085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR973
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139703742
—
AR
Enumeration date
12/05/2006
Last updated
05/16/2019
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