# ADVANCED PEDIATRIC THERAPY

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

## Provider details

- **NPI number:** 1922662907
- **Authorized official:** AMANDA L WALKER (OFFICE MANAGER)
- **Authorized official phone:** (501) 743-5212

## Contact information

- **Practice address:** 206 PLAZA BLVD, CABOT, AR 72023-3750
- **Practice address phone:** (501) 259-0202
- **Practice address fax:** (501) 286-7958
- **Mailing address:** PO BOX 906, CABOT, AR 72023-0906
- **Mailing address phone:** (501) 259-0202
- **Mailing address fax:** (501) 286-7958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2019
- **Last updated:** 04/25/2019