Individual
MS. LISA MARIE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1001 W WALNUT ST, ROGERS, AR 72756-3541
(479) 936-2978
Mailing address
1800 NW AUTUMN AVE, BENTONVILLE, AR 72712-8051
(479) 621-3649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1925
AR
Other
Enumeration date
04/22/2007
Last updated
07/09/2007
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