Individual
MRS. CATHERINE L SHOURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1700 SOUTH BLVD, CONWAY, AR 72034-6455
(501) 329-8102
(501) 329-2113
Mailing address
28 AGARITA CV, CONWAY, AR 72032-8520
(501) 329-4641
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1133
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR1133
STATE LICENSE NUMBER
AR
Enumeration date
03/05/2007
Last updated
07/09/2007
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