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Individual

MRS. KATHRYN DANIELLE SHATLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
204 CATHERINE ST, HARRISBURG, AR 72432-1100
(870) 219-2138
Mailing address
107 SUMMER LEIGH CV, BAY, AR 72411-9462
(870) 219-2138

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1106
AR

Other

Enumeration date
07/29/2016
Last updated
08/01/2016
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