Individual
VICTORIA MARIE WOODHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6601 PHOENIX AVE STE B, FORT SMITH, AR 72903-5092
(479) 785-9091
(479) 782-3415
Mailing address
6601 PHOENIX AVE STE B, FORT SMITH, AR 72903-5092
(479) 785-9091
(479) 782-3415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3355
AR
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/17/2020
Last updated
09/01/2021
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