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General NPI Number Information
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NPI Number | 1891806964
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Entity Type | Organization
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Legal Business Name | HEALTHQUEST MULTIDISCIPLINARY THERAPY AND REHABILITATION
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 1515 E MAIN ST
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City | MAGNOLIA
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State | AR
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Zip | 71753-3801
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Country | US
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Telephone | 870-234-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 E MAIN ST
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City | MAGNOLIA
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State | AR
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Zip | 71753-3801
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Country | US
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Telephone | 870-234-2255
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Fax | 870-234-2274
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTY LYN CHEATHAM
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Credential | O.T.
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Telephone | 870-299-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR1343
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License Number State | AR
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