Individual
SONJA DESHON TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1237 ALBERT PIKE RD, HOT SPRINGS, AR 71913-4134
(501) 624-3606
Mailing address
1237 ALBERT PIKE RD, HOT SPRINGS, AR 71913-4134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR848
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U336
BCBS
AR
Enumeration date
03/05/2007
Last updated
07/08/2007
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