Individual
MRS. DEBBIE ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
48 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2813
(479) 582-2740
(479) 582-2746
Mailing address
1794 MADISON 7750, HINDSVILLE, AR 72738
(479) 456-7116
(479) 582-2746
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1879
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124040721
—
AR
Enumeration date
08/30/2006
Last updated
11/02/2010
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