Organization
TEAGUE OCCUPATIONAL THERAPY SERVICES, INC
Active
Organization
TEAGUE OCCUPATIONAL THERAPY SERVICES, INC
Active
Other names
TOTS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA DESHON TEAGUE OTR (OWNER/THERAPIST)
(501) 624-3606
Entity
Organization
Contact information
Practice address
1801 CENTRAL AVE STE H, HOT SPRINGS, AR 71901-6800
(501) 624-3606
(501) 318-0383
Mailing address
195 LONGVIEW PT, HOT SPRINGS, AR 71913-8718
(501) 262-9369
(501) 318-0383
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR848
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U336
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/12/2006
Last updated
08/22/2020
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