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Susan Stover, COTA
Specialist in Lake Village, Arkansas
NPI 1548484728

Susan Stover is a Specialist based in Lake Village, AR. Susan Stover practices in Lake Village, AR and has the professional credentials of COTA. The NPI Number for Susan Stover is 1548484728 and holds a License No. OTA453 (Arkansas).

The current practice location address for Susan Stover is 216 Main St, Lake Village, AR and can be reached out via phone at 870-265-3950 and via fax at 870-265-2525.

Location: 216 Main St, Lake Village, AR, 71653-1916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548484728
Provider Name
Susan Stover
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
216 Main St, Lake Village, AR, 71653-1916
Phone Number
870-265-3950
Fax Number
870-265-2525
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
216 Main St
City
Lake Village
State
Arkansas
Zip
71653-1916
Phone Number
870-265-3950
Fax Number
870-265-2525
person
Provider Business Mailing Address Details
Address
216 Main St
City
Lake Village
State
Arkansas
Zip
71653-1916
Phone Number
870-265-3950
Fax Number
870-265-2525
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OTA453 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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