Individual
HOLLY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
48 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2813
(479) 582-2740
Mailing address
12 W DICKSON ST, #1162, FAYETTEVILLE, AR 72702-7217
(812) 568-4150
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A856
AR
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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