Individual
MR. KELLIE HARDESTY GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 W MAIN ST, MARIANNA, AR 72360-2102
(870) 295-5280
Mailing address
50 CHERRY ST, MARIANNA, AR 72360-2015
(870) 821-1311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
)TR1306
AR
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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