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Organization
OZARK SHOULDER TO HAND CENTER LLC
Active
Organization
OZARK SHOULDER TO HAND CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL D HENRY OTR/L,CHT (MANAGING MEMBER)
(870) 421-6937
Entity
Organization
Contact information
Practice address
715 W 6TH ST, OZARK SHOULDER TO HAND CENTER, MOUNTAIN HOME, AR 72653-3421
(870) 424-2224
(870) 424-0493
Mailing address
PO BOX 430, MOUNTAIN HOME, AR 72654-0430
(870) 424-2224
(870) 424-0493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1340
AR
225XH1200X
Hand Occupational Therapist
OTR1340
AR
225XN1300X
Neurorehabilitation Occupational Therapist
OTR1340
AR
225XP0019X
Physical Rehabilitation Occupational Therapist
OTR1340
AR
225XP0200X
Pediatric Occupational Therapist
OTR1340
AR
Other
Enumeration date
11/12/2013
Last updated
02/27/2014
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