Individual
KATHRYN HARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
521 MAIN ST, VAN BUREN, AR 72956-5109
(479) 410-1740
Mailing address
544 CAPERTON LOOP, GREENWOOD, AR 72936-3512
(479) 996-5886
(479) 996-9751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
712
OK
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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