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Individual

CHELSEA KAITLYN COFFELT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 CHERI WHITLOCK, SILOAM SPRINGS, AR 72761-4220
(479) 524-2456
(479) 373-1129
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3104
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222530721
AR
Enumeration date
08/23/2017
Last updated
01/05/2023
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