Individual
LAUREN NICOLE KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 MONA LN, WYNNE, AR 72396-3626
(870) 208-5287
Mailing address
263 MONA LN, WYNNE, AR 72396-3626
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2017-010
AR
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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