Individual
KAYLA MARIE QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
699 ARROWHEAD LN., CAVE CITY, AR 72521
(870) 307-4736
Mailing address
699 ARROWHEAD LN., CAVE CITY, AR 72521
(870) 307-4736
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
O-T0901
AR
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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