Healthcare Provider Details

I. General information

NPI: 1902133663
Provider Name (Legal Business Name): PEARL AMBER TURNEY OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 CLUB MANOR DR STE G
MAUMELLE AR
72113-7417
US

IV. Provider business mailing address

306 HIDDEN MEADOWS DR
BENTON AR
72015-4940
US

V. Phone/Fax

Practice location:
  • Phone: 866-251-1227
  • Fax: 866-251-1267
Mailing address:
  • Phone: 870-584-9126
  • Fax: 501-565-5700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2151
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number2151
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: