Individual
LISA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT-A
Contact information
Practice address
2461 DOLPH RD, PINEVILLE, AR 72566-8901
(870) 750-0090
Mailing address
2461 DOLPH RD, PINEVILLE, AR 72566-8901
(870) 750-0090
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1883
AR
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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