Henry Poland COTA
Community Health Worker in Cotter, AR(View on Map)
Full Name
Henry Poland COTA
NPI Number
1699118927
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/17/2013
Specialties
(Taxonomies)Licenses
State
Arkansas
License Number
OT-A451
Contact
Information
Purpose
Mailing
Location
Address
11721 CLAY ANSLEY HWY
740 DENTON FERRY RD
City
Ruston
Cotter
State
LA
AR
Postal Code
71270-8257
72626-9701
Country
US
US
Telephone Number
N/A
(318) 548-0682
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/17/2013