Individual
SARAH ELISABETH BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
204 E BROADWAY, GLENWOOD, AR 71943-9243
(870) 565-6113
Mailing address
76 OAK RIDGE RD, GLENWOOD, AR 71943-5054
(870) 565-6113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2446
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190747721
—
AR
Enumeration date
04/05/2012
Last updated
05/20/2025
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