Individual
BRIAN SLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9209 DOLLARWAY RD, WHITE HALL, AR 71602-2616
(870) 247-0800
(870) 247-0802
Mailing address
413 PLEDGER ST, FORDYCE, AR 71742-1977
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A919
AR
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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