Tammy Dallari

Individual provider Active NPI Occupational Therapist · Greenbrier, AR

NPI 1487056628 · NPPES record last updated Sep 18, 2014

Key facts

NPI
1487056628
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR2728 (AR)
Practice address
92 A S Broadview St
Greenbrier, AR 72058
Phone
(501) 679-5050
NPI assigned
Sep 18, 2014
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

LicenseStateTypeSpecialty
OTR2728ARMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR2728 AR Yes

Addresses

Primary practice location

92 A S Broadview St
Greenbrier, AR 72058

Mailing address

3775 Lazy Creek TRL
Conway, AR 72032-8782

Other providers in Greenbrier, AR

All providers in Greenbrier, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.