Individual
KAYLA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
806 W COLLEGE AVE, BERRYVILLE, AR 72616-3107
(870) 423-3124
Mailing address
8386 KERNODLE LN, HARRISON, AR 72601-1973
(870) 416-4038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-A1260
AR
Other
Enumeration date
09/13/2018
Last updated
01/04/2023
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