Individual
MISS CASEY LINETTE CONNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1515 HARRISON ST, SUITE B, BATESVILLE, AR 72501-7222
(870) 793-1925
(870) 793-1121
Mailing address
3420 ONEAL RD, BATESVILLE, AR 72501-9218
(870) 698-2918
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1758
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F161
BLUE CROSS BLUE SHEILD
AR
01
—
7227677
AETNA INSURANCE
AR
Enumeration date
02/15/2006
Last updated
07/08/2007
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