Individual
HOLLEY ALLISON WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2 TUFF ST, ASH FLAT, AR 72513-9755
(870) 994-7778
(870) 994-2531
Mailing address
PO BOX 296, ASH FLAT, AR 72513-0296
(870) 994-7778
(870) 994-2531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1323
AR
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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