Individual
SARA IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR.L
Contact information
Practice address
2705 ARBORS TER, BRYANT, AR 72022-8026
(501) 425-9558
Mailing address
2705 ARBORS TER, BRYANT, AR 72022-8026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OTR 819
AR
225X00000X
Occupational Therapist
Primary
OTR819
AR
Other
Enumeration date
03/20/2007
Last updated
05/14/2019
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