Individual
MRS. LARA ANNE HUMPHRIES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1513 OSAGE DR, NORTH LITTLE ROCK, AR 72116-5119
(501) 539-1046
(501) 833-0684
Mailing address
1513 OSAGE DR, NORTH LITTLE ROCK, AR 72116-5119
(501) 539-1046
(501) 833-0684
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1009
AR
Other
Enumeration date
06/13/2006
Last updated
07/09/2007
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