Individual
KALLIE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Mailing address
102 MARIE APT 2, BONO, AR 72416-8692
(870) 919-3359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2022-031
AR
Other
Enumeration date
01/04/2023
Last updated
09/11/2024
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