Individual
MRS. CODI C OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1675 W. JEFFERSON, STE A, SILOAM SPRINGS, AR 72761
(479) 524-8028
(479) 524-6151
Mailing address
PO BOX 1379, SILOAM SPRINGS, AR 72761-1379
(479) 524-8028
(479) 524-6151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1488
OK
225X00000X
Occupational Therapist
OTR2061
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1488
STATE LICENSE
OK
01
—
OTR2061
ARKANSAS STATE MEDICAL BO
AR
Enumeration date
07/26/2006
Last updated
09/07/2007
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