Individual
MRS. DIANA CAROL HOLLINGSHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1311 S I ST, FORT SMITH, AR 72901-4915
(479) 441-4000
Mailing address
3 FINGER CIR, BELLA VISTA, AR 72715-1626
(479) 621-3098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A133
AR
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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