Healthcare Provider Details

I. General information

NPI: 1568667517
Provider Name (Legal Business Name): SARITA CARVER RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 UNITED DR SUITE 210
CONWAY AR
72032-7826
US

IV. Provider business mailing address

PO BOX 246 544 HWY 232 W
KEO AR
72083-0246
US

V. Phone/Fax

Practice location:
  • Phone: 501-525-2770
  • Fax:
Mailing address:
  • Phone: 501-773-4123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number2685
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: