Individual
LEA CHARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
812 N PALM ST, LITTLE ROCK, AR 72205-1947
(501) 612-3509
(501) 280-9199
Mailing address
812 N PALM ST, LITTLE ROCK, AR 72205-1947
(501) 612-3509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR936
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128613721
—
AR
Enumeration date
05/21/2007
Last updated
06/20/2008
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