Individual
KATHRYN DUCKETT IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1500 MUSEUM RD, SUITE 104, CONWAY, AR 72032-4710
(501) 329-3804
(501) 329-0718
Mailing address
1500 MUSEUM RD, SUITE 104, CONWAY, AR 72032-4710
(501) 329-3804
(501) 329-0718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
370
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR370
LICENCE
AR
Enumeration date
06/05/2007
Last updated
07/08/2007
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