Individual
MISS KRISSY MICHELLE MCLEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 W BUCHANAN ST, CLARKSVILLE, AR 72830-2252
(479) 754-6210
Mailing address
35 ARROWHEAD LN, CLARKSVILLE, AR 72830-8022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A398
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149809721
—
AR
Enumeration date
05/05/2007
Last updated
02/14/2024
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