Individual
MISS KENZY NOEL QUEARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
405 EDGEWOOD DR, MAUMELLE, AR 72113-6267
(501) 803-9722
Mailing address
PO BOX 13932, MAUMELLE, AR 72113-0932
(501) 803-9722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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