Individual
KELSEY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6301 HIGHWAY 45 STE B, FORT SMITH, AR 72916-8857
(479) 322-0546
Mailing address
1813 W BRYAN ST, PARIS, AR 72855-4609
(479) 763-5990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2112
AR
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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