Individual
LAUREL LEVERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1320 MAUL RD, CAMDEN, AR 71701-2618
(870) 836-2690
Mailing address
90 BLACKGUM ST, MAGNOLIA, AR 71753-4514
(479) 287-1839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1747
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275832721
—
AR
01
—
452386
NBCOT
—
Enumeration date
08/06/2021
Last updated
08/02/2023
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