Individual
STEVIE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1500 CHERI WHITLOCK, SILOAM SPRINGS, AR 72761-4220
(479) 524-2456
(479) 373-1129
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1598
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242740721
—
AR
Enumeration date
06/29/2020
Last updated
02/03/2023
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