Individual
HEATHER DAWN KEIRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, R/L
Contact information
Practice address
2503 HARRISON ST, BATESVILLE, AR 72501-7424
(870) 805-5793
(870) 569-8063
Mailing address
28 RIVER RIDGE LN, ROSIE, AR 72571-9664
(870) 612-0419
(870) 569-8063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3340
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR3340
ARKANSAS MEDICAL BOARD LICENSE
AR
Enumeration date
11/08/2019
Last updated
11/08/2019
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