Individual
MRS. HEATHER RENEA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1004 BEAU TERRE DR, BENTONVILLE, AR 72712-6738
(479) 903-1018
(855) 738-7702
Mailing address
14 WEBBLY LN, BELLA VISTA, AR 72714-2909
(479) 855-2613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
2001000598
MO
Other
Enumeration date
02/23/2007
Last updated
08/27/2019
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