Accetta, Kerissa
Accetta, Kerissa is an sole proprietor health care provider with primary practice located at 5532 Jfk Blvd , North Little Rock AR 72116-6708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Accetta, Kerissa can be contacted via phone (501) 588-3211.Contact Information
Primary practice address
5532 Jfk Blvd
North Little Rock AR 72116-6708
Phone: (501) 588-3211
Fax: (501) 353-2599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTR3198 | Arkansas |
Profile Details
| NPI number | 1932674728 |
|---|---|
| LBN Legal business name | Accetta, Kerissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2018 |
| Last updated | Jan 3rd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932674728 | NPPES |
| Arkansas | MEDICAID | 230915721 |
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