Individual
KATELYN SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
Mailing address
218 COUNTY ROAD 712, GASSVILLE, AR 72635-8718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4256
AR
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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