Individual
SARA MICHELLE BARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT-A
Contact information
Practice address
316 MAIN STREET, LAKE VILLAGE, AR 71653
(870) 265-3950
(870) 265-2525
Mailing address
316 MAIN STREET, LAKE VILLAGE, AR 71653
(870) 265-3950
(870) 265-2525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT0770
AR
224Z00000X
Occupational Therapy Assistant
Primary
OTA516
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166460721
—
AR
Enumeration date
01/25/2008
Last updated
11/24/2020
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