Individual
KENDRA HOGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SUNSHINE LN, CAVE CITY, AR 72521-9520
(870) 613-0793
Mailing address
24 SUNSHINE LN, CAVE CITY, AR 72521-9520
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218286721
—
AR
Enumeration date
08/24/2015
Last updated
11/11/2022
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