Individual
KARA CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7160 TCHULAHOMA RD STE 4, SOUTHAVEN, MS 38671-9266
(662) 349-2733
Mailing address
7160 TCHULAHOMA RD STE 4, SOUTHAVEN, MS 38671-9266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2783
MS
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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