Kallie W. Mann
Occupational Therapist - Gerontology
650 S Dodson Rd
Rogers
, Arkansas 72758-7015
Kallie W. Mann
Occupational Therapist - Gerontology
650 S Dodson Rd
Rogers
, Arkansas 72758-7015
(704) 472-3826
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Kallie W. Mann
- 21 Basildon Cir
- Bella Vista, AR
- Zip : 72715-8842
- Phone : (704) 472-3826
Second Address
- Kallie W. Mann
- 650 S Dodson Rd
- Rogers, AR
- Zip : 72758-7015
- Phone : (479) 271-7120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OTR2990 | AR |
National Provider Identifier
| NPI | 1841869427 |
|---|---|
| Provider Name | Kallie W. Mann |
| First Address | Bella Vista, AR 72715-8842 |
| Second Address | Rogers, AR 72758-7015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2021 |
| Last Update Date | 18/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.