Organization
LEAPS AND BOUNDS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEA ANN ROBINSON OTRL (OCCUPATIONAL THERAPIST)
(501) 730-0742
Entity
Organization
Contact information
Practice address
3060 DALLAS LOOP, CONWAY, AR 72034-8123
(501) 730-0742
(501) 730-0742
Mailing address
3060 DALLAS LOOP, CONWAY, AR 72034-8123
(501) 730-0742
(501) 730-0742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1281
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W518
BCBS SUBMITTER ID
AR
Enumeration date
12/29/2006
Last updated
08/22/2020
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