Individual
MRS. RACHEL LADYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1760 N WOODLAND AVE, FAYETTEVILLE, AR 72703
(479) 443-4420
Mailing address
567 E MIMOSA LN, FAYETTEVILLE, AR 72703-3979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2016012196
MO
225X00000X
Occupational Therapist
Primary
OTR2898
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224283721
—
AR
Enumeration date
07/26/2016
Last updated
05/23/2018
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