Individual
KIM COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-3334
(870) 793-3474
Mailing address
400 GREY FOX LN, BATESVILLE, AR 72501-9127
(870) 793-3334
(870) 793-3474
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1884
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y151
BLUE CROSS BLUE SHIELD NU
AR
Enumeration date
02/27/2007
Last updated
07/08/2007
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