MEDICARE: ANGELA CULVER OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT 1969	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033246913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA CULVER OTR

Provider Business Mailing Address
First Line	:	1218 STONE ST STE 140
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-4568
Country	:	US
Telephone Number	:	870-530-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1218 STONE ST STE 140
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-4568
Country	:	US
Telephone Number	:	870-336-0220
Fax Number	:	870-558-5637

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	03/29/2023

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Directions to “ ANGELA CULVER OTR” Practice Location

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