Individual
MR. KEVIN LAYNE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
12020 CHURCHILL DOWNS, SPRINGDALE, AR 72762-4231
(501) 681-7175
Mailing address
12020 CHURCHILL DOWNS, SPRINGDALE, AR 72762-4231
(501) 681-7175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1439
AR
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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