Individual
KATI WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 E MATTHEWS AVE, JONESBORO, AR 72401-3050
(870) 919-0274
Mailing address
906 E MATTHEWS AVE, JONESBORO, AR 72401-3050
(870) 919-0274
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
296633
AR
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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