Individual
KIMBERLY NICOLE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
104 E EVERETT ST, POCAHONTAS, AR 72455-3309
(870) 248-1448
Mailing address
240 DALTON LN, NEWARK, AR 72562-9400
(870) 307-5688
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A568
AR
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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