Provider Demographics
NPI:1912117581
Name:HESSE, VALAREE CONE (OTRL)
Entity Type:Individual
Prefix:
First Name:VALAREE
Middle Name:CONE
Last Name:HESSE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:520 RIVER BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-8258
Mailing Address - Country:US
Mailing Address - Phone:501-362-3185
Mailing Address - Fax:501-362-0879
Practice Address - Street 1:SOUTHRIDGE VILLAGE NURSING AND REHAB
Practice Address - Street 2:400 SOUTHRIDGE PARKWAY
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543
Practice Address - Country:US
Practice Address - Phone:501-362-3185
Practice Address - Fax:501-362-9879
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR349225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist