Organization
SUCCESS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY RODERY I OTR/L (OCCUPATIONAL THERAPIST)
(870) 577-2127
Entity
Organization
Contact information
Practice address
214 LANDON LN, HARRISON, AR 72601-1814
(870) 577-2127
Mailing address
214 LANDON LN, HARRISON, AR 72601-1814
(870) 577-2127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2149
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166329721
—
AR
05
—
174899721
—
AR
Enumeration date
07/03/2013
Last updated
07/03/2013
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