Individual
HOLLY HERTZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 S 17TH ST, FORT SMITH, AR 72901-3836
(479) 782-1444
Mailing address
314 S 17TH ST, FORT SMITH, AR 72901-3836
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2020-065
AR
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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