Organization
THERA-PLAY PEDIATRICS OF HARRISON, AR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUVALL (PRESIDENT)
(870) 204-5330
Entity
Organization
Contact information
Practice address
702 N MAIN ST STE C, HARRISON, AR 72601-2920
(870) 204-5330
Mailing address
702 N MAIN ST STE C, HARRISON, AR 72601-2920
(870) 204-5330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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