Individual
LAURA MOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1412 WOODLAND DR, BRYANT, AR 72022-3050
(501) 847-5642
Mailing address
2620 VALLEY FRG, BENTON, AR 72015-3078
(501) 722-8130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1385
AR
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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