Individual
MRS. LEANNE NICOLE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5660
(501) 847-5662
Mailing address
3025 BRENDA DR, BENTON, AR 72015-4734
(501) 303-7766
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1267
AR
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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