Individual
RICHARD K LOGHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
2307 PLEASURE DR, BRYANT, AR 72019
(501) 722-3105
Mailing address
2307 PLEASURE DR, BRYANT, AR 72019-6364
(501) 722-3105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1803
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155067721
—
AR
01
—
5Y823
ARBCBS
AR
Enumeration date
04/20/2007
Last updated
05/25/2018
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