Individual
KATRINA ELIZABETH BOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2302 LLAMA DR, SEARCY, AR 72143-4793
(501) 268-5001
(501) 268-5443
Mailing address
2302 LLAMA DR, SEARCY, AR 72143-4793
(501) 268-5001
(501) 268-5443
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1327
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133279721
—
AR
01
—
5T815
OCCUPATIONAL THERAPIST
AR
Enumeration date
01/28/2007
Last updated
12/04/2024
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