Individual
CARSON ELLEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2918 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-3438
Mailing address
141 STONEHILL DR, SHERWOOD, AR 72120-3733
(501) 804-3644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1888
AR
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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