Individual
LAURA BETH WEIGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2470 COLLEGE AVE., CONWAY, AR 72034
(501) 329-5459
(501) 325-1378
Mailing address
2470 COLLEGE AVE., CONWAY, AR 72034
(501) 329-5459
(501) 325-1378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1933
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154749721
—
AR
Enumeration date
03/19/2007
Last updated
01/17/2022
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