Individual
MRS. VIRIDIANA HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT-A
Contact information
Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(479) 631-7678
Mailing address
113 S BAILEY ST, LOWELL, AR 72745-8448
(479) 770-3561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1840
AR
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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