Individual
KAYLA TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 COURTESY LN, MAMMOTH SPRING, AR 72554-9230
(870) 625-0275
Mailing address
27 COURTESY LN, MAMMOTH SPRING, AR 72554-9230
(870) 625-0275
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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