Individual
MRS. STEPHANIE LYN HARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4601 RIDGE RD, NORTH LITTLE ROCK, AR 72116-7264
(501) 771-8155
Mailing address
4601 RIDGE RD, NORTH LITTLE ROCK, AR 72116-7264
(501) 771-8155
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2957
AR
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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