Individual
MRS. STEPHANIE REBEKAH OLDHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2200 FT ROOTS DRIVE, VA HOSPITAL NLR , BLDG 170,116/N, N. LITTLE ROCK, AR 72114-1709
(501) 257-3024
(501) 257-3110
Mailing address
1603 N LINCOLN ST, CABOT, AR 72023-2728
(501) 843-0618
(501) 257-3110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1776
AR
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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