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Individual
MRS. KATHY D ADAMS
Active
Individual
MRS. KATHY D ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139368721
—
AR
01
—
256020
NBCOT
AR
01
—
O-T0937
STATE LIC
AR
Enumeration date
04/30/2007
Last updated
09/22/2009
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