Individual
MRS. LISA DENISE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 620-5509
Mailing address
212 SUMMER ST, HOT SPRINGS, AR 71913
(501) 844-5339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1772
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148144721
—
AR
01
—
5X819
BLUE CROSS
AR
Enumeration date
09/29/2006
Last updated
05/02/2014
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