Van Crews

Individual provider Active NPI Occupational Therapist · Austin, AR

NPI 1790908291 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1790908291
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1134 (AR)
Practice address
146 Wild Rose CV
Austin, AR 72007-9130
Phone
(501) 605-7007
NPI assigned
Apr 11, 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

State licenses

LicenseStateTypeSpecialty
1134ARMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1134 AR Yes

Addresses

Primary practice location

146 Wild Rose CV
Austin, AR 72007-9130

Mailing address

146 Wild Rose CV
Austin, AR 72007-9130

Other providers in Austin, AR

All providers in Austin, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.