Individual
LESLIE MARIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
120 SOUTHWINDS RD STE 2, FARMINGTON, AR 72730-8652
(479) 631-7678
Mailing address
219 CHANTILLY AVE, SPRINGDALE, AR 72764-7532
(479) 502-1990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A704
AR
Other
Enumeration date
09/26/2012
Last updated
02/10/2020
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