Individual
HANNA PAIGE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2561 N TATE RD, EL DORADO, AR 71730-8838
(870) 312-3730
Mailing address
2561 N TATE RD, EL DORADO, AR 71730-8838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
08/13/2024
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