Campbell, Lisa Denise

Campbell, Lisa Denise is an individual health care provider with primary practice located at 407 Carson St , Hot Springs AR 71901-6852. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Campbell, Lisa Denise can be contacted via phone (501) 620-5509.

Contact Information

Primary practice address
407 Carson St Hot Springs AR 71901-6852
Phone: (501) 620-5509
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1772 Arkansas

Profile Details

NPI number 1225120678
LBN Legal business name Campbell, Lisa Denise
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225120678 NPPES
Arkansas MEDICAID 148144721
Arkansas Other 5X819

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