Individual
KYLIE JO COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
3162 W MLK JR BLVD, SUITE 4, FAYETTEVILLE, AR 72704
(479) 435-6636
Mailing address
473 SW MIAMI LOOP APT 5, FAYETTEVILLE, AR 72701-7742
(870) 490-1039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3773
AR
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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