Organization
LIFTOFF PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR GUTHRIE (OWNER)
(479) 466-0751
Entity
Organization
Contact information
Practice address
9900 MEANDERING WAY, FORT SMITH, AR 72903-5734
(479) 466-0751
Mailing address
9900 MEANDERING WAY, FORT SMITH, AR 72903-5734
(479) 466-0751
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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