Individual
MR. MICHEAL ANTHONY LEDING II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1001 N 49TH ST, FORT SMITH, AR 72904-7211
(479) 209-4490
Mailing address
1001 N 49TH ST, FORT SMITH, AR 72904-7211
(479) 209-4490
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A967
AR
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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