Individual
MRS. VANESSA LYNN STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5720 W MARKHAM ST, LITTLE ROCK, AR 72205-3328
(501) 664-6200
Mailing address
13500 CHENAL PARKWAY, APT 1710, LITTLE ROCK, AR 72211
(870) 665-1981
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A542
AR
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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