Organization
THRIVE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARA LEAVELL (PRESIDENT)
(479) 414-6872
Entity
Organization
Contact information
Practice address
3 PINECREST DR, RUSSELLVILLE, AR 72801-4560
(479) 567-5362
Mailing address
PO BOX 722, RUSSELLVILLE, AR 72811-0722
(479) 414-6872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
11/07/2025
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