Individual
LILLIE KATHERINE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
(479) 246-0101
Mailing address
7033 W SHADOW VALLEY RD, ROGERS, AR 72758-8148
(501) 551-7283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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