Individual
MRS. RANDI CARANN HESTIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
601 S UNION ST, DE WITT, AR 72042-2727
(870) 946-1606
(870) 946-2739
Mailing address
601 S UNION ST, DE WITT, AR 72042-2727
(870) 946-1606
(870) 946-2739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA1546
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COTA1546
COTA1546
AR
Enumeration date
10/15/2019
Last updated
10/15/2019
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