Organization
EDINGTON ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JEFFREY EDINGTON OTRL (OCCUPATIONAL THERAPIST)
(870) 424-9292
Entity
Organization
Contact information
Practice address
504 POWERS ST, MOUNTAIN HOME, AR 72653-2925
(870) 424-9292
(870) 425-5254
Mailing address
504 POWERS ST, MOUNTAIN HOME, AR 72653-2925
(870) 424-9292
(870) 425-5254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1611
AR
Other
Enumeration date
06/27/2007
Last updated
06/24/2008
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