Organization
EQUINOVATE THERAPY SERVICES, INC.
Active
Other names
Equinovate Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
SARA HICKS COTA/L (THERAPIST)
(501) 849-8644
Entity
Organization
Contact information
Practice address
9288 MARS HILL RD, BAUXITE, AR 72011-8024
(502) 849-8644
Mailing address
9288 MARS HILL RD, BAUXITE, AR 72011-8024
(501) 849-8644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609217918
—
AR
Enumeration date
06/16/2022
Last updated
06/16/2022
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