Individual
HEATHER S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
(501) 217-8636
Mailing address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
(501) 217-8636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1764
AR
225XP0200X
Pediatric Occupational Therapist
OTR1764
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148657721
—
AR
01
—
5X155
BCBS
AR
Enumeration date
01/05/2007
Last updated
12/21/2023
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