Individual
ABIGAYLE LYNNE LAGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
416 N MAIN ST STE 1, CAVE CITY, AR 72521-9008
(870) 283-6757
Mailing address
105 POWHATAN DR, CHEROKEE VILLAGE, AR 72529-2137
(573) 694-8129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1900
AR
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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