Individual
CAROLINE REBEKAH SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 E 9TH ST, MOUNTAIN HOME, AR 72653-4704
(870) 565-8892
Mailing address
100 E 9TH ST, MOUNTAIN HOME, AR 72653-4704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1499
AR
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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