Healthcare Provider Details

I. General information

NPI: 1073247623
Provider Name (Legal Business Name): SLOANE LAWSON DETERDING OTR-L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2575 GENE GEORGE BLVD STE 1
SPRINGDALE AR
72762-2227
US

IV. Provider business mailing address

4301 W MARKHAM ST # 783
LITTLE ROCK AR
72205-7101
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-0130
  • Fax: 479-750-0937
Mailing address:
  • Phone: 501-686-8000
  • Fax: 501-526-5148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1073247623
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: