Organization
REWILD THE CHILD NWA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY PIERCE MOT, OTR/L (OCCUPATIONAL THERAPIST)
(417) 592-2293
Entity
Organization
Contact information
Practice address
2003 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713-7930
(479) 310-9107
Mailing address
17 STONEYKIRK DR, BELLA VISTA, AR 72715-3608
(417) 592-2293
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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