Individual
MRS. STORMY ELIZABETH SLADARITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5600
(501) 847-5695
Mailing address
3008 QUARTER HORSE LN, BENTON, AR 72015-5079
(501) 303-7248
(501) 847-5695
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1127
AR
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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