NPI 1013334606

Kimberly Henritze, COTA

Practitioner Occupational Therapy Assistant De Queen, AR

Practice location

Address: 1306 W Collin Raye Dr, De Queen, AR 71832-2502
Phone: (870) 648-4990

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OT-A838 (AR)

Other Occupational Therapy Assistant providers in Arkansas →

Registry record

NPI: 1013334606
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2014
Record last updated: 21 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.