Individual
KRISTEN DANIELLE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 653-5051
Mailing address
3821 RAZORBACK LN, BENTON, AR 72015-8890
(501) 454-1171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1636
AR
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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