# TILLIE STRACENER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194170100
- **Authorized official:** MRS. TILLIE STRACENER OT-A (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (501) 281-6677

## Contact information

- **Practice address:** 701 VALLEY CT, SEARCY, AR 72143-7087
- **Practice address phone:** (501) 281-6677
- **Mailing address:** 701 VALLEY CT, SEARCY, AR 72143-7087
- **Mailing address phone:** (501) 281-6677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT-A1090 | AR | Yes |

## Other

- **Enumeration date:** 04/27/2016
- **Last updated:** 04/27/2016