Organization
KIDSPOT JONESBORO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA R DEUTER (PRESIDENT)
(870) 974-9114
Entity
Organization
Contact information
Practice address
1835 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Mailing address
1835 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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