Individual
CAROLINE WILBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1811 E MAIN ST, CHARLESTON, AR 72933-9254
(479) 275-9150
(479) 662-4766
Mailing address
PO BOX 332, CHARLESTON, AR 72933-0332
(479) 275-9150
(479) 662-4766
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2110
AR
Other
Enumeration date
01/10/2024
Last updated
03/25/2025
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