Organization
OCCUPLAYTIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA HOGGARD COTA/L (MEMBER)
(870) 613-0793
Entity
Organization
Contact information
Practice address
262 E BOSWELL ST, BATESVILLE, AR 72501-6933
(870) 613-0793
Mailing address
24 SUNSHINE LN, CAVE CITY, AR 72521-9520
(870) 613-0793
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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