Individual
ELIZABETH DIANE LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
3918 PECAN GROVE RD, RUDY, AR 72952-9026
(479) 632-6337
(479) 632-5916
Mailing address
3918 PECAN GROVE RD, RUDY, AR 72952-9026
(479) 632-6337
(479) 632-5916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2530
AR
225XP0200X
Pediatric Occupational Therapist
2530
AR
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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