Individual
KINLEY AUTUMN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 WHITE DR, BATESVILLE, AR 72501-2001
(870) 569-8120
Mailing address
2214 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5019
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1641
AR
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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