Individual
MRS. KATHLEEN JOAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2200 FORT ROOTS DR, BUILDING 170 2K 116, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3277
Mailing address
31 LAKEVIEW DR, CONWAY, AR 72032-8811
(501) 327-4966
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
23894
AR
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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