Individual
MRS. LAKEN NICHOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 382-8454
Mailing address
PO BOX 848, GLENWOOD, AR 71943-0848
(870) 828-8054
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1337
AR
Other
Enumeration date
03/08/2018
Last updated
10/29/2024
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