Organization
WILDFLOWER PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACIE WHITE OTR/L (OWNER/ OCCUPATIONAL THERAPIST)
(662) 322-3187
Entity
Organization
Contact information
Practice address
203 BLAIR CIR, PEA RIDGE, AR 72751-3182
(662) 322-3187
(662) 322-3187
Mailing address
203 BLAIR CIR, PEA RIDGE, AR 72751-3182
(662) 322-3187
(662) 322-3187
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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