Individual
SARAH SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 SPRINGHILL RD STE 5, BRYANT, AR 72019-7560
(501) 847-2555
Mailing address
20900 ROLAND HEIGHTS RD, ROLAND, AR 72135-9685
(501) 847-2555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212056721
—
AR
Enumeration date
09/14/2015
Last updated
03/08/2016
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