Individual
CARLIE KELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 STONE ST STE 140, JONESBORO, AR 72401-4568
(870) 336-0220
Mailing address
808 SW 2ND ST, WALNUT RIDGE, AR 72476-2607
(870) 759-1373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1891
AR
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
12/20/2022
Last updated
12/10/2024
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