Kimberly Henritze
Occupational Therapy Assistant
1306 W Collin Raye Dr
De Queen
, Arkansas 71832-2502
Kimberly Henritze
Occupational Therapy Assistant
1306 W Collin Raye Dr
De Queen
, Arkansas 71832-2502
(870) 648-4990
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kimberly Henritze
- 1306 W Collin Raye Dr
- De Queen, AR
- Zip : 71832-2502
- Phone : (870) 648-4990
Second Address
- Kimberly Henritze
- 1306 W Collin Raye Dr
- De Queen, AR
- Zip : 71832-2502
- Phone : (870) 648-4990
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT-A838 | AR |
National Provider Identifier
| NPI | 1013334606 |
|---|---|
| Provider Name | Kimberly Henritze |
| First Address | De Queen, AR 71832-2502 |
| Second Address | De Queen, AR 71832-2502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2014 |
| Last Update Date | 21/03/2014 |
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.