Individual
JOHANNA BEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176-8656
(501) 941-1522
Mailing address
5532 JFK BLVD, NORTH LITTLE ROCK, AR 72116-6708
(501) 588-3211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3883
AR
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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