Individual
MOLLIE GRACE ANN WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9220 HIGHWAY 71 S STE 10, FORT SMITH, AR 72916-9151
(479) 763-1412
(479) 763-1425
Mailing address
369 DEERWOOD LOOP, GREENWOOD, AR 72936-6601
(479) 650-1124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1945
OK
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1268
AR
Other
Enumeration date
10/16/2017
Last updated
10/05/2023
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