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Organization
KIDSPIRATION OUTPATIENT THERAPY SERVICES
Active
Organization
KIDSPIRATION OUTPATIENT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE COLEMAN (OWNER)
(870) 424-4021
Entity
Organization
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
(870) 424-4112
Mailing address
1310 BRADLEY DRIVE, MTN HOME, AR 72654
(870) 424-4021
(870) 424-4112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
10/02/2014
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