# OZARK SHOULDER TO HAND CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750711743
- **Authorized official:** CRYSTAL D HENRY OTR/L,CHT (MANAGING MEMBER)
- **Authorized official phone:** (870) 421-6937

## Contact information

- **Practice address:** 715 W 6TH ST, OZARK SHOULDER TO HAND CENTER, MOUNTAIN HOME, AR 72653-3421
- **Practice address phone:** (870) 424-2224
- **Practice address fax:** (870) 424-0493
- **Mailing address:** PO BOX 430, MOUNTAIN HOME, AR 72654-0430
- **Mailing address phone:** (870) 424-2224
- **Mailing address fax:** (870) 424-0493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTR1340 | AR | Yes |
| 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