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NPI Code Detail

MEDICARE: KERRI HOOTEN OTRL

MEDICARE: KERRI HOOTEN OTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOTR1640AR

General Provider Information

NPI Number : 1902927619
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI HOOTEN OTRL
Provider Business Mailing Address
First Line : PO BOX 10267
Second Line :
City : CONWAY
State : AR
Zip : 72034-0003
Country : US
Telephone Number : 501-358-6535
Fax Number : 501-358-6536
Provider Business Practice Location Address
First Line : 1301 MUSEUM RD
Second Line :
City : CONWAY
State : AR
Zip : 72032-4739
Country : US
Telephone Number : 501-358-6535
Fax Number : 501-358-6536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 03/18/2025

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Directions to “ KERRI HOOTEN OTRL” Practice Location

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