Individual
KAREN DENISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
211 COLUMBIA ROAD 104, WALDO, AR 71770
(870) 904-5767
Mailing address
211 COLUMBIA 104, WALDO, AR 71770-9511
(870) 904-5767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A676
AR
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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