LANCE EDWARD VESTAL

ROGERS, AR
NPI1528039088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR987)
Enumeration Date2006-01-31
Last Update Date2008-03-06
Business Address
Mr. LANCE EDWARD VESTAL OT
3625 W CHESTNUT ST
ROGERS, AR 72756
Phone number: 479-631-3955
Mailing Address
Mr. LANCE EDWARD VESTAL OT
908 NW 8TH ST
BENTONVILLE, AR 72712
Phone number: 479-273-1141
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