Individual
LYDIA MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S WALDRON RD STE 107, FORT SMITH, AR 72903-2568
(479) 226-3409
Mailing address
1501 S WALDRON RD STE 107, FORT SMITH, AR 72903-2568
(479) 226-3409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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