Individual
AMANDA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 W HUDSON RD, ROGERS, AR 72756-2072
(479) 936-1061
(855) 812-1132
Mailing address
1821 LARKSPUR ST, SPRINGDALE, AR 72764-3015
(479) 318-5980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
O-T1409
AR
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2702
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202225721
—
AR
01
—
O-T1409
ARKANSAS STATE MEDICAL BOARD
AR
01
—
OTR2707
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
04/02/2014
Last updated
04/21/2025
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