Individual
MRS. KAYLA LEANN JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 HEMPSTEAD 5, HOPE, AR 71801-8908
(870) 703-9743
(870) 777-2065
Mailing address
623 HEMPSTEAD 5, HOPE, AR 71801-8908
(870) 703-9743
(870) 777-2065
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A665
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190117721
—
AR
Enumeration date
02/07/2012
Last updated
02/07/2012
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