Healthcare Provider Details

I. General information

NPI: 1164676631
Provider Name (Legal Business Name): NATASHA CHERI PUMPHREY MS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 03/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 RIVERFRONT DR
LITTLE ROCK AR
72202
US

IV. Provider business mailing address

7401 REBEL LN
MABELVALE AR
72103-2933
US

V. Phone/Fax

Practice location:
  • Phone: 501-663-6965
  • Fax:
Mailing address:
  • Phone: 501-336-4389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: