Individual
KENLEE RAY YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2918 HAWKINS DR, SEARCY, 2918 HAWKINS DR, SEARCY, SEARCY, AR 72143
(501) 279-9255
Mailing address
106 AMY ST, TUCKERMAN, AR 72473-9321
(870) 217-2680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2166
AR
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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