Individual
MR. BENJAMIN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBHP.
Contact information
Practice address
2305 OLD COUNTY ROAD, POCAHONTAS, AR 72455-4148
(870) 892-1005
(870) 892-0078
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
224Z00000X
Occupational Therapy Assistant
OT-A1537
AR
Other
Enumeration date
09/17/2019
Last updated
11/09/2020
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