Individual
SHARON MIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3501 W. E. KNIGHT DRIVE, FORT SMITH, AR 72903
(479) 709-7000
(479) 709-7051
Mailing address
P.O. BOX 11230, FORT SMITH, AR 72917-1230
(479) 709-7000
(479) 709-7051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT153
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137402721
—
AR
01
—
5U321
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/11/2006
Last updated
07/08/2007
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