Healthcare Provider Details

I. General information

NPI: 1750539243
Provider Name (Legal Business Name): CHERI MEEKS M.S. OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 S SPRINGHILL LN
GREENBRIER AR
72058-9538
US

IV. Provider business mailing address

54 S BROADWAY ST
DAMASCUS AR
72039-9235
US

V. Phone/Fax

Practice location:
  • Phone: 501-336-4336
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: