Individual
KEEGAN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
612 S LINCOLN, STE A, LOWELL, AR 72745
(479) 770-0744
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2984
AR
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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