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Organization
LATADA ENRICHMENT THERAPY SERVICES, LLC
Active
Organization
LATADA ENRICHMENT THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELNIKA J HALE (OWNER)
(501) 240-8098
Entity
Organization
Contact information
Practice address
3411 MAIN ST STE 5, BRYANT, AR 72022-8032
(501) 240-8098
Mailing address
2296 PLEASANT FOREST DR, BENTON, AR 72015-4992
(501) 240-8098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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