Individual
MARSHA DELL DESILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8751 CREST LN, SPRINGDALE, AR 72762-9336
(479) 248-1112
Mailing address
2474 E JOYCE BLVD, STE. 2, FAYETTEVILLE, AR 72703-4519
(479) 521-8326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-2130
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR-2130
OTR/L LICENSURE
AR
Enumeration date
01/07/2008
Last updated
01/07/2008
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