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Individual

ALEXIS HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
700 W MAIN ST, WALNUT RIDGE, AR 72476-1849
(870) 637-5903
(870) 637-5908
Mailing address
700 W MAIN ST, WALNUT RIDGE, AR 72476-1849
(870) 637-5903
(870) 637-5908

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA1302
AR
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
11/27/2017
Last updated
08/18/2023
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