Organization
MK THERAPY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET COLEMAN KILLGORE OTR/L (OWNER)
(870) 278-4332
Entity
Organization
Contact information
Practice address
149 HENRY ST, MARION, AR 72364-1610
(870) 278-4332
Mailing address
149 HENRY ST, MARION, AR 72364-1610
(870) 278-4332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2289
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191434742
—
AR
Enumeration date
05/07/2012
Last updated
05/07/2012
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