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Organization

LITTLE ROOTS THERAPY, LLC

Active
Other names
Katie Davidson
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATIE RENEE DAVIDSON COTA/L (OWNER/COTA)
(479) 806-2879
Entity
Organization

Contact information

Practice address
2941 N DAVIS ST, LAVACA, AR 72941-4517
(479) 806-2879
Mailing address
2941 N DAVIS ST, LAVACA, AR 72941-4517
(479) 806-2879

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
01/15/2024
Last updated
08/25/2025
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