Individual
MRS. KRISTI MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3214 WINCHESTER DR., BENTON, AR 72015
(501) 326-6160
Mailing address
1347 VANDERBUILT DR, BENTON, AR 72015-9563
(501) 794-0751
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1004448
AR
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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