Provider Demographics
NPI:1659458552
Name:UMPHRESS, LEA ANN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LEA
Middle Name:ANN
Last Name:UMPHRESS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GLENDALE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9251
Mailing Address - Country:US
Mailing Address - Phone:501-733-2166
Mailing Address - Fax:501-679-2657
Practice Address - Street 1:3 GLENDALE CIR
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058-9251
Practice Address - Country:US
Practice Address - Phone:501-733-2166
Practice Address - Fax:501-679-2657
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1642225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics