Individual
HANNAH OLIVIA CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2701 T P WHITE DR, JACKSONVILLE, AR 72076-2514
(501) 241-0410
Mailing address
1421 DAVIS ST APT B, CONWAY, AR 72034-3920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1429
AR
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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