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Organization
SPOT ON PEDIATRIC THERAPY, LLC
Active
Organization
SPOT ON PEDIATRIC THERAPY, LLC
Active
Other names
Soar Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY GRISWOLD (SPEECH THERAPIST)
(870) 688-6140
Entity
Organization
Contact information
Practice address
521 N WILLOW ST, HARRISON, AR 72601-3518
(870) 280-3071
Mailing address
150 US 65B HWY, NULL, WESTERN GROVE, AR 72685
(870) 688-6140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
AR2149
AR
235Z00000X
Speech-Language Pathologist
Primary
SP#3747
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166329721
—
AR
05
—
205115721
—
AR
Enumeration date
12/05/2016
Last updated
07/08/2024
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