Organization
KIDSPOT TRUMANN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA DEUTER (OWNER)
(870) 974-9114
Entity
Organization
Contact information
Practice address
831 HIGHWAY 463 N, TRUMANN, AR 72472-1636
(870) 418-0794
(870) 418-0791
Mailing address
831 HIGHWAY 463 N, TRUMANN, AR 72472-1636
(870) 418-0794
(870) 418-0791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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