Individual
LAKIN COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 WILSON FARM RD, GREENBRIER, AR 72058-9310
(501) 581-6045
Mailing address
PO BOX 933, GREENBRIER, AR 72058-0933
(501) 336-4336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1665
AR
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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