Organization
KIDWORX ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY LYNN THEROUX OTR/L (CEO)
(870) 688-7348
Entity
Organization
Contact information
Practice address
816 N MAIN ST, HARRISON, AR 72601-2915
(870) 688-7348
Mailing address
816 N MAIN ST, HARRISON, AR 72601-2915
(870) 688-7348
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
OTR1902
AR
Other
Enumeration date
07/30/2011
Last updated
07/30/2011
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