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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