Lindsey Nicole Holt
Individual provider Active NPI Pediatric Occupational Therapist · Rudy, AR
NPI 1831407840 · NPPES record last updated Sep 24, 2010
Key facts
- NPI
- 1831407840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- OTR2362 (AR)
- Practice address
- 3918 Pecan Grove Road
Rudy, AR 72952 - Phone
- (479) 632-6337
- Fax
- (479) 632-5916
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| OTR2362 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Rehabillitation of W. Arkansas, Inc. | Past | Accepting new patients | |
| The Pediatric Promise Center LLC | Past | Accepting new patients | |
| Hand Rehabilitation of W. Ark., Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR2362 | AR | Yes |
Addresses
Primary practice location
3918 Pecan Grove Road
Rudy, AR 72952
Mailing address
3918 Pecan Grove Road
Rudy, AR 72952
Phone (479) 632-6337
Other providers in Rudy, AR
- Jamie Edgin
- Brandi Fox
- Hand Rehabilitation of W. Ark., Inc.
- Hand Rehabillitation of W. Arkansas, Inc.
- Debra L. Henderson
- Daune Holzman
- Deron Johnson
- Kala Price Inc
- Jeaneen Kidwell
- Michael Derek Law
All providers in Rudy, 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 Sep 24, 2010. 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.