Individual
CHAD WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3423 E HIGHLAND DR, SUITE A, JONESBORO, AR 72401-6404
(870) 336-0021
(870) 336-0022
Mailing address
3423 E HIGHLAND DR, SUITE A, JONESBORO, AR 72401-6404
(870) 336-0021
(870) 336-0022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2375
AR
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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