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Organization

HOMETOWN PEDIATRIC THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL DEREK LAW OTR/L (OWNER)
(479) 275-9150
Entity
Organization

Contact information

Practice address
1811 E MAIN ST, CHARLESTON, AR 72933-9254
(479) 275-9150
(479) 662-4766
Mailing address
PO BOX 332, CHARLESTON, AR 72933-0332
(479) 275-9150
(479) 662-4766

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/12/2022
Last updated
07/14/2025
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