Individual
CHASTITY SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
515 MCDONOUGH, HELENA, AR 72342-2912
(870) 338-8106
Mailing address
PO BOX 247, TURNER, AR 72383-0247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
861
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861
OTA LICENSE NUMBER
AR
Enumeration date
05/29/2014
Last updated
05/29/2014
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