Individual
DAVINIA ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
427 W CENTERTON BLVD, CENTERTON, AR 72719-8701
(479) 795-1260
(479) 795-1260
Mailing address
427 W CENTERTON BLVD, CENTERTON, AR 72719-8701
(479) 795-1260
(479) 795-1260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
O-T1157
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O-T1157
ARKANSAS STATE LICENSE
AR
Enumeration date
09/15/2011
Last updated
09/15/2011
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