Vickie Ladd, CTRS
Recreation Therapist in Russellville, AR. Individual provider (NPI-1).
NPI number1730380296
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1730380296
- Entity type
- Individual (NPI-1)
- Name
- Vickie Ladd
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | – | – | Yes |
Practice location
103 W Parkway DrSuite "d"
Russellville, AR 72801-3700
Phone 479-264-3817
Mailing address
103 W Parkway DrSuite "d"
Russellville, AR 72801-3700
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