Individual
MRS. ERICA ASHLEY CLINTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(479) 621-8500
(479) 621-8506
Mailing address
476 CHIP DR, BETHEL HEIGHTS, AR 72764-8201
(502) 468-3284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
KY-R3065
KY
225X00000X
Occupational Therapist
Primary
OTR1967
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y305
BLUE CROSS BLUE SHIELD #
AR
Enumeration date
05/10/2006
Last updated
07/08/2007
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