Individual
MRS. KAITLYN PAIGE THONGKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
Mailing address
2008 CHERRYBARK BND, GREENWOOD, AR 72936-4914
(918) 721-1462
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1681
AR
Other
Enumeration date
04/06/2021
Last updated
09/08/2021
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