Organization
CROUCH THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NICOLE CROUCH COTA/L (PRESIDENT)
(870) 307-5688
Entity
Organization
Contact information
Practice address
240 DALTON LN, NEWARK, AR 72562-9400
(870) 307-5688
(870) 569-8006
Mailing address
240 DALTON LN, NEWARK, AR 72562-9400
(870) 307-5688
(870) 569-8006
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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