Individual
HEATHER PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 N MAIN ST STE C, HARRISON, AR 72601-2920
(870) 204-5330
Mailing address
702 N MAIN ST STE C, HARRISON, AR 72601-2920
(870) 204-5330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1552
AR
Other
Enumeration date
10/18/2016
Last updated
10/24/2019
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