Individual
MRS. JAN LEA CATHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
714 N DETROIT ST, DANVILLE, AR 72833
(479) 495-6326
(479) 495-3336
Mailing address
801 E 10TH ST, DANVILLE, AR 72833
(479) 495-6326
(479) 495-3336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR888
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139253721
—
AR
01
—
5C367
BLUE CROSS ID NUMBER
AR
01
—
998624
NATL BOARD
AR
01
—
OTR888
STATE LICENSE NUMBER
AR
Enumeration date
04/24/2007
Last updated
08/28/2023
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