Organization
JARVIS PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY LEE JARVIS OTR/L (OWNER/OPERATER)
(479) 750-7778
Entity
Organization
Contact information
Practice address
3896 ELM SPRINGS RD, SUITE D, SPRINGDALE, AR 72762-2703
(479) 750-7778
(479) 750-7708
Mailing address
3896 ELM SPRINGS RD, SUITE D, SPRINGDALE, AR 72762-2703
(479) 750-7778
(479) 750-7708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR639
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F272
BC/BS GROUP PROVIDER NUMB
AR
Enumeration date
08/30/2006
Last updated
08/22/2020
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