Western Arkansas Pediatric Rehab Inc.
Organization Active NPI Pediatric Occupational Therapist · Charleston, AR
NPI 1215098462 · NPPES record last updated May 8, 2019
Key facts
- NPI
- 1215098462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- Legal business name
- WESTERN ARKANSAS PEDIATRIC REHAB INC.
- Practice address
- 1919 Charmont Drive
Charleston, AR 72933-0871 - Phone
- (479) 965-6752
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Anna Marie Rowland, OTR
- Title
- President
- Phone
- (479) 965-2612
Practitioners 10
-
Anna Marie Clifford, OTR
-
Amber Brasher, OT
-
James Frederick, COTA
-
Brian E. Hawk, PTA
-
Margie Hyatt, PTA
-
Shawna Johnson, PTA
-
Hannah McMillan, OTA
-
Rebecca Shurden, PTA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist |
2251P0200X | |||
| Pediatric Occupational Therapist |
225XP0200X | Yes |
Addresses
Primary practice location
1919 Charmont Drive
Charleston, AR 72933-0871
Mailing address
PO Box 871
Charleston, AR 72933-0871
Phone (479) 965-6752
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132403742 | Medicaid | AR |
Other providers in Charleston, AR
- Scott Harlan Taylor
- Vanmeter Therapy Services, LLC
- Cortney Eloise Vanmeter
- Wal-Mart Stores Inc
- Timbi D West
- Western Arkansas Primary Care
- Dolores Ann White
- Caroline Wilbanks
- Macy Young
All providers in Charleston, AR · Pediatric 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 May 8, 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.