Healthcare Provider Details

I. General information

NPI: 1942128699
Provider Name (Legal Business Name): MAGGIE MILLS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4199 E KIEHL AVE
SHERWOOD AR
72120-3539
US

IV. Provider business mailing address

121 HARMONY LOOP
MAUMELLE AR
72113-7070
US

V. Phone/Fax

Practice location:
  • Phone: 501-301-4530
  • Fax: 501-251-1165
Mailing address:
  • Phone: 769-226-3280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: