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Individual

LYNNE HOLLAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTRL

Contact information

Practice address
9000 N RODNEY PARHAM RD, LITTLE ROCK, AR 72205-1646
(501) 503-5160
Mailing address
24 KANIS CREEK PL, LITTLE ROCK, AR 72223-4919
(501) 626-7910

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1894
AR
225XP0200X
Pediatric Occupational Therapist
OTR1894
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152477721
AR
Enumeration date
01/06/2007
Last updated
10/31/2021
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