Individual
KELSEY MADELINE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
207 PLAZA BLVD, CABOT, AR 72023-3749
(501) 628-5880
Mailing address
101 JORDAN RD, VILONIA, AR 72173-8010
(870) 370-4875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217396721
—
AR
Enumeration date
09/15/2016
Last updated
06/03/2025
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