Individual
DUSTIN LEE POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 587-3117
(479) 444-6942
Mailing address
PO BOX 1608, FAYETTEVILLE, AR 72702-1608
(479) 587-3130
(479) 444-6942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2177
AR
225XH1200X
Hand Occupational Therapist
OTR2177
AR
Other
Enumeration date
05/01/2008
Last updated
03/14/2011
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