Organization
ASCENT AQUISITION CORP- PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LEAMONS (COTA)
(870) 245-2210
Entity
Organization
Contact information
Practice address
2410 PINE ST, ARKADELPHIA, AR 71923-4335
(870) 245-2210
Mailing address
399 WYLDEWOOD DR, GURDON, AR 71743-9089
(870) 353-6778
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-334
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138586721
—
AR
Enumeration date
01/22/2007
Last updated
07/02/2008
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