Kristina Olegovna Bennett, OT
Individual provider Active NPI Occupational Therapist · Arkadelphia, AR
NPI 1104424522 · NPPES record last updated Oct 16, 2020
Key facts
- NPI
- 1104424522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR3432 (AR)
- Practice address
- 3163 Hollywood Rd
Arkadelphia, AR 71923-9360 - Phone
- (870) 464-1337
- NPI assigned
- Oct 16, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR3432 | AR | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3432 | AR | Yes |
Addresses
Primary practice location
3163 Hollywood Rd
Arkadelphia, AR 71923-9360
Mailing address
3163 Hollywood Rd
Arkadelphia, AR 71923-9360
Phone (870) 464-1337
Other providers in Arkadelphia, AR
- Tina Beals
- Beverly Jo Bejarano
- Allison Bell
- Bruce Irwin Bell
- David Julian Bell
- Bethel Burris Oliver PLLC
- Anna N Bingham
- Emylee Grace Bittinger
- Maci Elizabeth Blanton
- Blossom Garden Boutique
All providers in Arkadelphia, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.