Individual
KRISTIN M DEMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
433 W CENTERTON BLVD, CENTERTON, AR 72719-8701
(479) 795-1260
(479) 795-1261
Mailing address
1010 APPLEWOOD CIR, CENTERTON, AR 72719-8953
(501) 269-2184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
O-T0953
AR
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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