Individual
HENLEY RHEA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
148 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 520-8761
Mailing address
200 STONE DR, WHITE HALL, AR 71602-2963
(870) 692-9192
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1938
AR
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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