Healthcare Provider Details

I. General information

NPI: 1912187261
Provider Name (Legal Business Name): THERAPY POSSIBILITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2007
Last Update Date: 11/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 COUNTY ROAD 7010
WYNNE AR
72396-8470
US

IV. Provider business mailing address

6 COUNTY ROAD 7010
WYNNE AR
72396-8470
US

V. Phone/Fax

Practice location:
  • Phone: 870-588-1365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberOTR1672
License Number StateAR

VIII. Authorized Official

Name: MARYANGELIA E HOFFPAUIR
Title or Position: PRESIDENT
Credential: BS,OTR/L,CLT
Phone: 870-588-1365