Male or Other

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)

Code

172V00000X

Primary Taxonomy

Yes

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

Provider Address