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Organization

EASTER SEALS ARKANSAS

Active
Other names
Arkansas Easter Seal Society
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANIE GAYLE SMITH (VICE PRESIDENT ADMIN & FINANCE)
(501) 227-3662
Entity
Organization

Contact information

Practice address
3920 WOODLAND HEIGHTS RD, LITTLE ROCK, AR 72212-2495
(501) 227-3662
(501) 227-3658
Mailing address
3920 WOODLAND HEIGHTS RD, LITTLE ROCK, AR 72212-2495
(501) 227-3662
(501) 227-3658

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116088742
AR
01
5B959
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/22/2007
Last updated
07/01/2009
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