Whalio Doctors

NPI 1699118927

Henry Poland, COTA

Practitioner Community Health Worker Cotter, AR

Practice location

Address
740 Denton Ferry Rd, Cotter, AR 72626-9701
Phone
(318) 548-0682
Mailing address
11721 Clay Ansley Hwy, Ruston, LA 71270-8257

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence OT-A451 (AR)

Registry record

NPI
1699118927
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Apr 2013
Record last updated
17 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.