Organization
C&W OPERATIONS
Active
Organization
C&W OPERATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CHERRY OTD/OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(479) 684-9714
Entity
Organization
Contact information
Practice address
2000 E MATTHEWS AVE, JONESBORO, AR 72401-4348
(479) 684-9714
Mailing address
3721 PEBBLE BEACH DR, JONESBORO, AR 72404-6824
(479) 684-9714
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236953721
—
AR
Enumeration date
02/11/2022
Last updated
03/15/2022
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