Individual
MS. HEATHER MICHELLE LITCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3419 N PLAINVIEW AVE, FAYETTEVILLE, AR 72703-4065
(479) 521-4001
(479) 521-1621
Mailing address
3419 N PLAINVIEW AVE, FAYETTEVILLE, AR 72703-4065
(479) 521-4001
(479) 521-1621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA-0252A
AZ
225X00000X
Occupational Therapist
Primary
OTR-1848
AR
Other
Enumeration date
05/03/2006
Last updated
11/21/2007
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