Individual
TRISHA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
582 HIGHWAY 365 STE 3, MAYFLOWER, AR 72106-9525
(870) 557-1439
Mailing address
582 HIGHWAY 365 STE 3, MAYFLOWER, AR 72106-9525
(870) 557-1439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2643
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204098721
—
AR
Enumeration date
09/25/2014
Last updated
09/25/2014
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