Individual
LOIS N MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
600 S MCKINLEY ST, SUITE 200, LITTLE ROCK, AR 72205-5202
(501) 664-4088
(501) 664-7113
Mailing address
600 S MCKINLEY ST, SUITE 200, LITTLE ROCK, AR 72205-5202
(501) 664-4088
(501) 664-7113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR104
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S272
ABCBS
AR
Enumeration date
09/21/2006
Last updated
06/17/2014
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