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Organization
PEDIATRIC THERAPY WORKS, LLC
Active
Organization
PEDIATRIC THERAPY WORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE FREDERICK MCD, CCC-SLP (CO-OWNER)
(870) 270-7963
Entity
Organization
Contact information
Practice address
111 MERRIMAN AVE E, WYNNE, AR 72396-2941
(870) 270-7963
(870) 374-6061
Mailing address
5 COUNTY ROAD 7290, WYNNE, AR 72396-8121
(870) 270-7963
(870) 374-6061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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