Organization
SHINING STARS PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCIE RENEE REED MS, OTR/L (PRESIDENT)
(870) 213-6545
Entity
Organization
Contact information
Practice address
100 E 9TH STREET, MOUNTAIN HOME, AR 72653-3253
(870) 213-6545
(870) 424-3208
Mailing address
PO BOX 424, MOUNTAIN HOME, AR 72654-0424
(870) 213-6545
(870) 580-0636
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
01/16/2019
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