Individual
MISS KATHRYN LYNN CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6311 DEBARR RD, ANCHORAGE, AK 99504-1787
(907) 350-3840
Mailing address
600 GREEN OAK DR, N LITTLE ROCK, AR 72118-3171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211854
TX
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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