Individual
NANCY CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1919 W 12TH ST, LITTLE ROCK, AR 72202-4551
(501) 686-8000
Mailing address
1919 W 12TH ST, LITTLE ROCK, AR 72202-4551
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR412
AR
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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