Individual
MS. ROSALIE KAY WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 9TH ST, MENA, AR 71953-3026
(479) 394-2617
(479) 243-0107
Mailing address
PO BOX 633, MENA, AR 71953-0633
(479) 243-0858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A251
AR
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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