Quinn E Caldwell, OTR,L
Individual provider Active NPI Occupational Therapist · Jacksonville, AR
NPI 1174570907 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1174570907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR1657 (AR)
- Practice address
- 2701 T P White Dr
Jacksonville, AR 72076-2514 - Phone
- (501) 241-0410
- Fax
- (501) 241-0125
- NPI assigned
- May 27, 2006
- 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 |
|---|---|---|---|
| OTR1657 | AR | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR1657 | AR | |
| Occupational Therapist | 225X00000X | OTR1657 | AR | Yes |
Addresses
Primary practice location
2701 T P White Dr
Jacksonville, AR 72076-2514
Mailing address
2701 T P White Dr
Jacksonville, AR 72076-2514
Phone (501) 241-0410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142923721 | Medicaid | AR |
Other providers in Jacksonville, AR
- Anna Lea Burch
- James Kenneth Burnett
- T.J. Allen Burrow
- Thomas Richard Bush
- Ca & JL Enterprises Inc
- Sarah P Caldwell
- Julian Dale Calhoon
- Heidi Calhoun
- Capes Dialysis LLC
- Caring Hearts Counseling, LLC
All providers in Jacksonville, 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 Jun 11, 2019. 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.