Individual
LYDIA KARIS WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 ROLLING RIDGE CIR, TEXARKANA, AR 71854-9036
(903) 376-6012
Mailing address
3949 MILLER COUNTY 18, TEXARKANA, AR 71854-0912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
219089
TX
224Z00000X
Occupational Therapy Assistant
Primary
OTA2188
AR
224Z00000X
Occupational Therapy Assistant
Primary
—
TX
Other
Enumeration date
01/15/2026
Last updated
03/08/2026
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