Individual
ZACHARY FENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176-8656
(501) 941-5630
(501) 353-2599
Mailing address
1500 WILSON LOOP, WARD, AR 72176-8656
(501) 941-5630
(501) 353-2599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210596721
—
AR
Enumeration date
09/29/2015
Last updated
10/04/2021
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