Individual
STACEY LEIGH BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 E EMMA AVE, SPRINGDALE, AR 72764-4503
(147) 977-0078
Mailing address
922 E EMMA AVE, SPRINGDALE, AR 72764-4503
(501) 701-3830
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OT-A1340
AR
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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