Healthcare Provider Details

I. General information

NPI: 1518016088
Provider Name (Legal Business Name): A PLUS THERAPIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 10/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 CROOKED CREEK RD
GREENWOOD AR
72936-3026
US

IV. Provider business mailing address

1004 CROOKED CREEK RD
GREENWOOD AR
72936-3026
US

V. Phone/Fax

Practice location:
  • Phone: 479-996-7718
  • Fax: 479-996-7718
Mailing address:
  • Phone: 479-996-7718
  • Fax: 479-996-7718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateAR

VIII. Authorized Official

Name: MS. PAULA JEAN MCCANN
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR-L
Phone: 479-996-7718