Individual
KAITLYN COSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
214 HOPE LANDING RD, EL DORADO, AR 71730-8725
(870) 862-0500
(870) 862-2100
Mailing address
3290 HIGHWAY 15, CALHOUN, LA 71225-8158
(318) 381-3007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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