Individual
KYLIE NOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1403 HIGH SCHOOL DRIVE, MAGNOLIA, AR 71753
(870) 234-4933
Mailing address
PO BOX 177, JUNCTION CITY, AR 71749-0177
(870) 315-4927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1562
AR
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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