Individual
ALICIA KATHLEEN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 W 25TH ST, LITTLE ROCK, AR 72204-5531
(501) 621-1500
Mailing address
64 PINEY TRL, CABOT, AR 72023-9311
(501) 960-5597
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1925
AR
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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