Individual
KRISTY SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1315 WALNUT ST, TEXARKANA, TX 75501-4446
(903) 794-2705
(903) 793-1203
Mailing address
776 HIGHWAY 317, LOCKESBURG, AR 71846-9480
(870) 784-1892
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212563
TX
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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