Organization
SPOT ON PEDIATRIC THERAPY, LLC
Active
Other names
Soar Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY GRISWOLD (SPEECH THERAPIST)
(870) 688-6140
Entity
Organization
Contact information
Practice address
521 N WILLOW ST, HARRISON, AR 72601-3518
(870) 280-3071
Mailing address
150 US 65B HWY, NULL, WESTERN GROVE, AR 72685
(870) 688-6140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
AR2149
AR
235Z00000X
Speech-Language Pathologist
Primary
SP#3747
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166329721
—
AR
05
—
205115721
—
AR
Enumeration date
12/05/2016
Last updated
07/08/2024
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