Individual
LEAH MICHELLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
266 CHAPEL DR, EL DORADO, AR 71730-3989
(870) 866-0758
Mailing address
5419 RED OAK DR, EL DORADO, AR 71730-8511
(870) 866-0758
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A445
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162250721
—
AR
Enumeration date
01/12/2009
Last updated
08/15/2024
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