Doctor Name: | MS. OLIVIA HENDRICKS |
NPI Number: | 1467684324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | O-T0914 |
Business Practice Address: | 216 Main St Lake Village, AR - 716531916 |
Business Phone Number: | 8702653950 |
Business Fax Number: | 8702652525 |
Mailing Address: | 1735 Palmyra Dr, GREENVILLE |
State: | MS |
Postal Code: | 387017448 |
Phone Number: | 8702653950 |
Fax Number: | 8702652525 |
NPI Enumeration Date: | 08/11/2009 |
NPI Last Update Date: | 08/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | O-T0914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |