Organization
CORNERSTONE KIDS THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CASEY L CONNELL MS (OCCUPATIONAL THERAPIST)
(870) 793-1925
Entity
Organization
Contact information
Practice address
1515 HARRISON ST STE B, BATESVILLE, AR 72501-7222
(870) 793-1925
Mailing address
1515 HARRISON ST STE B, BATESVILLE, AR 72501-7222
(870) 793-1925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1758
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F161
ARKANSAS BLUE CROSS
AR
01
—
7227677
AETNA
AR
Enumeration date
08/01/2006
Last updated
08/22/2020
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