Individual
LESLIE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E RACE AVE, SEARCY, AR 72143-4417
(501) 268-3400
Mailing address
502 E RACE AVE, SEARCY, AR 72143-4417
(501) 268-3400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1230
AR
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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