Individual
KAYLA LASHAE DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3801 JOHNSON MILL BLVD, FAYETTEVILLE, AR 72704-5297
(479) 856-6400
Mailing address
3465 CHARLACK AVE, SAINT LOUIS, MO 63114-4206
(314) 773-9972
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1311
AR
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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