Individual
MR. CHARLES JEFFREY EDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
18 COUNTY ROAD 458, MOUNTAIN HOME, AR 72653-8212
(870) 425-5252
(870) 425-5254
Mailing address
48 BRECKENRIDGE CT, MOUNTAIN HOME, AR 72653-9238
(870) 656-8567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1611
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142156721
—
AR
Enumeration date
01/12/2007
Last updated
01/21/2021
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