Individual
LEE ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
509 N VALENTINE ST, LITTLE ROCK, AR 72205-4135
(501) 350-0819
(501) 664-2057
Mailing address
509 N VALENTINE ST, LITTLE ROCK, AR 72205-4135
(501) 350-0819
(501) 664-2057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR363
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121955721
—
AR
01
—
5S829
BCBS
AR
Enumeration date
10/25/2006
Last updated
09/09/2010
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