Individual
SHELLY DIANNE HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
552 GOLF LINKS RD, HOT SPRINGS, AR 71901-7917
(501) 624-7149
Mailing address
3227 MARION ANDERSON RD, HOT SPRINGS, AR 71913-8929
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-169
AR
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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