Individual
LANEY LYNN RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 SCHOOL DR, MELBOURNE, AR 72556-8620
(870) 544-4045
Mailing address
31 SCHOOL DR, MELBOURNE, AR 72556-8620
(870) 544-4045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1890
AR
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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