Individual
MS. SUSAN KAY UMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
301 SE 28TH ST, BENTONVILLE, AR 72712-4195
(479) 464-8788
Mailing address
903 S 22ND ST, ROGERS, AR 72758-4913
(479) 636-9710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1824
AR
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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