Chad Dwain Ford
Individual provider Active NPI Developmental Therapist · Lowell, AR
NPI 1326164229 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1326164229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 519 Latham Dr
Lowell, AR 72745-8360 - Phone
- (479) 750-0130
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
519 Latham Dr
Lowell, AR 72745-8360
Mailing address
800 Marshall St # 900
Little Rock, AR 72202-3510
Phone (479) 750-2020
Other providers in Lowell, AR
- Kathleen M Farrar
- Kaitlyn Felder
- Judith Grace Fetters
- Imelda Rosas Flores
- Katelyn Ivy Forbis Roth
- David B. Fort Jr.
- Robin Lianne Forward-Wise
- Nerissa S France
- Michael Antoni Franklin
- Ryan M Frederick
All providers in Lowell, AR · Developmental 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 29, 2008. 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.