Individual
CALLIE AVERY HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
433 W CENTERTON BLVD, CENTERTON, AR 72719-8701
(479) 795-1260
Mailing address
124 GREENFIELD, BENTON, AR 72019-2284
(501) 249-1009
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2445
AR
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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