Organization
KIDSPOT TRUMANN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA R DEUTER (OWNER)
(870) 974-9114
Entity
Organization
Contact information
Practice address
831 HIGHWAY 463 N, TRUMANN, AR 72472-1636
(870) 974-9114
Mailing address
1835 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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