Individual
MRS. BRITTNEY HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1600 N COLLEGE AVE, EL DORADO, AR 71730-3775
(870) 864-5078
Mailing address
246 FENNELL RD, EL DORADO, AR 71730-9231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1677
AR
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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