Individual
LESLIE NICOLE ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2403 MAIN DR, SUITE 5, FAYETTEVILLE, AR 72704-5223
(479) 966-4883
(479) 445-6130
Mailing address
2403 MAIN DR, SUITE 5, FAYETTEVILLE, AR 72704-5223
(479) 966-4883
(479) 445-6130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A773
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730527623
—
AR
Enumeration date
06/13/2013
Last updated
11/09/2015
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