Lakin Coffman

Individual provider Active NPI Occupational Therapy Assistant · Greenbrier, AR

NPI 1962008722 · NPPES record last updated Dec 8, 2020

Key facts

NPI
1962008722
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OT-A1665 (AR)
Practice address
8 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone
(501) 581-6045
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
OT-A1665ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 4 Kids Past
since Dec 13, 2020
Accepting new patients
Therapy 4 Kids, LLC Past
since Dec 13, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1665 AR Yes

Addresses

Primary practice location

8 Wilson Farm Rd
Greenbrier, AR 72058-9310

Mailing address

PO Box 933
Greenbrier, AR 72058-0933
Phone (501) 336-4336

Other providers in Greenbrier, AR

All providers in Greenbrier, AR · Occupational Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.