Healthcare Provider Details

I. General information

NPI: 1033258637
Provider Name (Legal Business Name): SARAH LEIGH KENT OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 GRANT AVE
JONESBORO AR
72401-6155
US

IV. Provider business mailing address

1801 GRANT AVE
JONESBORO AR
72401-6155
US

V. Phone/Fax

Practice location:
  • Phone: 870-974-9114
  • Fax: 870-974-9184
Mailing address:
  • Phone: 870-974-9114
  • Fax: 850-974-9184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number23337
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: