Individual
SHANA WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1700 OLD STRONG HWY, STRONG, AR 71765
(870) 797-3089
Mailing address
1700 OLD STRONG HWY, STRONG, AR 71765-9507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A674
AR
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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