KELLEY HUMBARD

WEST FORK, AR
NPI1700245610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR2875)
Enumeration Date2016-02-19
Last Update Date2023-01-18
Business Address
KELLEY HUMBARD OT
272 SCHOOL AVE
WEST FORK, AR 72774-3124
Phone number: 479-839-3349
Mailing Address
KELLEY HUMBARD OT
PO DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322