Organization
QUALLS THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MARIE QUALLS MS, OTR/L (OWNER)
(870) 307-4736
Entity
Organization
Contact information
Practice address
169 RAINBOW LN, CAVE CITY, AR 72521-9815
(870) 307-4736
(870) 283-6304
Mailing address
169 RAINBOW LN, CAVE CITY, AR 72521-9815
(870) 307-4736
(870) 283-6304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR2256
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197907742
—
AR
Enumeration date
08/06/2013
Last updated
08/06/2013
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