Individual
STEPHANIE ELAINE ALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2302 LLAMA DR, SEARCY, AR 72143-4793
(501) 268-5001
(501) 268-5443
Mailing address
540 PRINCE REAPER RD, PANGBURN, AR 72121-9762
(501) 305-9455
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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