Individual
DANIELLE WHITNEY HUDSPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
385 HIGHWAY 65 N, CONWAY, AR 72032
(501) 697-9881
Mailing address
18 PEBBLE BROOK DR, CONWAY, AR 72034-2904
(150) 169-0153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OTR2419
AR
174400000X
Specialist
R5299
KY
225X00000X
Occupational Therapist
Primary
2419
AR
Other
Enumeration date
03/15/2011
Last updated
06/02/2023
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