Individual
MISS ELIZABETH LEIGH SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 WHITE DR, BATESVILLE, AR 72501-2001
(870) 569-8120
Mailing address
9 CHEVIOT PL, BELLA VISTA, AR 72715-5405
(870) 468-6161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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