Organization
DELTA RESILIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO LEE ERICKSON OTR/L (SOLE MEMBER OWNER)
(870) 584-8064
Entity
Organization
Contact information
Practice address
1127 HIGHWAY 71 S, MENA, AR 71953-4033
(870) 584-8064
Mailing address
911 PORT ARTHUR AVE, MENA, AR 71953-3138
(870) 584-8064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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