Susan Stover, COTA
NPI #1548484728 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1548484728
- Entity Type
- Individual
- Name
- Susan Stover, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- COTA
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 216 MAIN ST
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-1916
- Phone
- (870) 265-3950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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