Organization
SOUTH WEST PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY ANN HALL COTA/L (OWNER)
(501) 844-0453
Entity
Organization
Contact information
Practice address
600 MAIN ST STE L, HOT SPRINGS, AR 71913-4964
(501) 232-7552
Mailing address
155 SAN FELIPE RD, HOT SPRINGS, AR 71909-9726
(501) 844-0453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178007721
—
AR
Enumeration date
05/31/2022
Last updated
05/31/2022
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