Individual
HEATHER LORENE MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
316 MAIN STREET, LAKE VILLAGE, AR 71653
(870) 265-3950
(870) 265-2525
Mailing address
316 MAIN STREET, LAKE VILLAGE, AR 71653
(870) 265-3950
(870) 265-2525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
O-T1377
AR
225X00000X
Occupational Therapist
Primary
OTR3022
AR
Other
Enumeration date
12/23/2013
Last updated
11/24/2020
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