Individual
ALICIA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
385 HIGHWAY 65 N, CONWAY, AR 72032-3506
(501) 697-9881
Mailing address
PO BOX 588, PERRYVILLE, AR 72126-0588
(501) 940-5030
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1828
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470228
NBCOT
AR
01
—
OT-A1828
AR STATE MEDICAL BOARD
AR
Enumeration date
03/29/2022
Last updated
03/29/2022
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