Individual
FLORDELIZA OPLE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
112 NW YUKON TRAIL ST, BENTONVILLE, AR 72712-5004
(479) 464-8990
(479) 271-7129
Mailing address
112 NW YUKON TRAIL ST, BENTONVILLE, AR 72712-5004
(479) 464-8990
(479) 271-7129
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OTR1490
AR
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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