Individual
KATIE LEIGH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
108 HORSESHOE DR, SHERWOOD, AR 72120-3433
(501) 744-0388
Mailing address
108 HORSESHOE DR, SHERWOOD, AR 72120-3433
(501) 744-0388
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1884
AR
224Z00000X
Occupational Therapy Assistant
OTA3940
MS
Other
Enumeration date
10/17/2022
Last updated
11/04/2022
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