Advanced Therapy Connection, LLC
Organization Active NPI Occupational Therapist · Ash Flat, AR
NPI 1902335581 · NPPES record last updated Jun 7, 2017
Key facts
- NPI
- 1902335581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- ADVANCED THERAPY CONNECTION, LLC
- Practice address
- 75 Highway 62 412 Ste L
Ash Flat, AR 72513-9629 - Phone
- (870) 262-7480
- NPI assigned
- Jun 7, 2017
- Organization subpart
- No
Authorized official
- Name
- Darryl Matson
- Title
- Organizer
- Phone
- (870) 847-2448
National Provider Directory
Locations
75 Highway 62 412
Ste L
Ash Flat, AR 72513
Phone (870) 243-6292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
75 Highway 62 412 Ste L
Ash Flat, AR 72513-9629
Mailing address
PO Box 723
Cherokee Village, AR 72525-0723
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161958721 | Medicaid | AR |
Other providers in Ash Flat, AR
- Kayleigh Adams
- Afnc, Inc.
- Penny L Allen
- Jamila D Amer
- Ash Flat Pharmacy, Inc.
- Ash Flat Pharmacy, Inc.
All providers in Ash Flat, AR · 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 Jun 7, 2017. 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.