Individual
LEISHA CALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1311 FORT ST, SUITE L, BARLING, AR 72923-2045
(479) 965-5086
(877) 694-8824
Mailing address
201 CEDAR LN, CHARLESTON, AR 72933-9499
(479) 965-5086
(877) 694-8824
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR275
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115954721
—
AR
01
—
5S592
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/19/2005
Last updated
10/09/2012
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