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MRS. KIMBERLY BASS MCCORKLE OTR

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

Registrant NPI Number: 1093011587

Individual Registrant:
MRS. KIMBERLY  BASS MCCORKLE OTR
Gender: F
Sole Proprietor

Location and contact information for practice:
2002 LOSTWOOD  TEXARKANA, AR 71854-8194 US
Tel: 870-403-1318  Fax: --

Contact information for business:
2002 LOSTWOOD LANE  TEXARKANA, AR 71854-2924 US
Tel: 870-403-1318  Fax: --

Registration Information:
NPI: 1093011587
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Pediatrics
AROTR 2367

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
184312721AR05




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