Individual
MARIAN EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5 REMINGTON COVE, LITTLE ROCK, AR 72204
(855) 556-4769
Mailing address
30 N. LAKE CIR., CONWAY, AR 72032
(501) 329-6787
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1466
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136310721
—
AR
01
—
5U186
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/07/2006
Last updated
11/13/2012
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