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Individual

MRS. LEA ANN HOPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2031 BLUE RIBBON CIR., BENTON, AR 72019
(501) 316-3090
Mailing address
2031 BLUE RIBBON CIR., BENTON, AR 72019
(501) 316-3090

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1329
AR
282N00000X
General Acute Care Hospital
OTR1329
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150009721
AR
Enumeration date
05/25/2007
Last updated
10/10/2014
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