Individual
TIANA OTTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2878 POWELL ST, SPRINGDALE, AR 72764-7333
(479) 750-8710
(479) 750-8810
Mailing address
4100 ROCHESTER CIR APT F, SPRINGDALE, AR 72764-7586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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