Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OT-A1480 | AR |
NPI | 1003455353 |
---|---|
Provider Name | Haleigh Bethann Schlesier |
First Address | Crossett, AR 71635-8631 |
Second Address | Crossett, AR 71635-8631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2020 |
Last Update Date | 08/01/2020 |