Individual
HARLEE MAE DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 TUFF ST, ASH FLAT, AR 72513-9755
(870) 994-7778
Mailing address
PO BOX 296, ASH FLAT, AR 72513-0296
(870) 994-7778
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2065
AR
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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