Individual
MRS. ASHTON PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1601 GREENHOUSE RD, BENTONVILLE, AR 72713-9292
(479) 795-1260
(479) 795-1261
Mailing address
1601 GREENHOUSE RD, BENTONVILLE, AR 72713-9292
(479) 795-1260
(479) 795-1261
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2019004744
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019004744
MISSOURI STATE LICENSE OTR
MO
Enumeration date
04/16/2019
Last updated
04/16/2019
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