Individual
HANNAH DIANCE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1008 HWY 25 B, HEBER SPRINGS, AR 72543
(501) 365-3927
(501) 365-3914
Mailing address
PO BOX 952, HEBER SPRINGS, AR 72543
(501) 365-3927
(501) 365-3914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A 561
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180464721
—
AR
Enumeration date
03/15/2010
Last updated
09/18/2018
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