# ADVANCED THERAPY CONNECTION, LLC

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

## Provider details

- **NPI number:** 1902335581
- **Authorized official:** DARRYL MATSON (ORGANIZER)
- **Authorized official phone:** (870) 847-2448

## Contact information

- **Practice address:** 75 HIGHWAY 62 412 STE L, ASH FLAT, AR 72513-9629
- **Practice address phone:** (870) 262-7480
- **Mailing address:** PO BOX 723, CHEROKEE VILLAGE, AR 72525-0723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2017
- **Last updated:** 06/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 161958721 | — | AR |