Individual
MRS. WENDY LEIGH BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
121 COX ST, BENTON, AR 72015-4611
(501) 351-2192
Mailing address
121 COX STREET, STE 3, BENTON, AR 72015
(501) 351-2192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1435
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137072721
—
AR
01
—
5U879
BCBS
AR
Enumeration date
03/23/2006
Last updated
06/10/2014
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