Organization
OCCUPATIONAL THERAPY SERVICES INC.
Active
Other names
KidSense Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE H PIERONI OT (OT/OWNER)
(870) 265-3950
Entity
Organization
Contact information
Practice address
316 MAIN ST., LAKE VILLAGE, AR 71653
(870) 265-3950
(870) 265-2525
Mailing address
316 MAIN ST., LAKE VILLAGE, AR 71653
(870) 265-3950
(870) 265-2525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OTR774
AR
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
SP1285
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138916742
—
AR
01
—
5F521
ABCBS
AR
Enumeration date
08/18/2006
Last updated
11/25/2020
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