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MRS. JOANNA MICHELLE CANTRELL KELLEY BSE, M.ED

>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1699171561

Individual Registrant:
MRS. JOANNA MICHELLE CANTRELL KELLEY BSE, M.ED
Gender: F
Sole Proprietor

Location and contact information for practice:
221 LINDLEY LN  NEWPORT, AR 72112-4954 US
Tel: 479-523-2124  Fax: 870-523-5168

Contact information for business:
221 LINDLEY LN  NEWPORT, AR 72112-4954 US
Tel: 479-523-2124  Fax: 870-523-5168

Registration Information:
NPI: 1699171561
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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