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Individual

MRS. CAROLINE LEIGH CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
(501) 217-8636
Mailing address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
(501) 217-8636

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2629
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTR2629
STATE LICENSE
AR
Enumeration date
09/30/2013
Last updated
08/18/2014
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