Individual
HAYLEY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2710 S 16TH ST, FORT SMITH, AR 72901-6458
(479) 719-3668
Mailing address
2710 S 16TH ST, FORT SMITH, AR 72901-6458
(479) 719-3668
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1887
AR
Other
Enumeration date
02/08/2023
Last updated
08/15/2024
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