Individual
TAKESHIA ENLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3115 S BOWMAN RD, LITTLE ROCK, AR 72211-4623
(501) 228-4848
Mailing address
860 DEWAYNE LN, CONWAY, AR 72034-6769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2399
AR
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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