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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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