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NPI Code Detail

MEDICARE: EASTER SEALS ARKANSAS

MEDICARE: EASTER SEALS ARKANSAS
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25B959OTHERARAR BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1265567168
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTER SEALS ARKANSAS
Provider Business Mailing Address
First Line : 3920 WOODLAND HEIGHTS RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72212-2495
Country : US
Telephone Number : 501-227-3662
Fax Number : 501-227-3658
Provider Business Practice Location Address
First Line : 3920 WOODLAND HEIGHTS RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72212-2495
Country : US
Telephone Number : 501-227-3662
Fax Number : 501-227-3658
Authorized Official
Title or Position : VICE PRESIDENT ADMIN & FINANCE
Name : MS. STEPHANIE GAYLE SMITH
Credential :
Telephone Number : 501-227-3662
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/01/2009

Similar Medicare Providers

1972638609 — ARKANSAS EASTER SEALS ARKANSAS
Practice Location Address:
3920 WOODLAND HEIGHTS RD
LITTLE ROCK, AR
72212-2495
Practice Phone: 501-227-3662
Practice Fax: 501-227-3658
1881729515 — ARKANSAS EASTER SEAL SOCIETY
Practice Location Address:
3920 WOODLAND HEIGHTS RD
LITTLE ROCK, AR
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1508991233 — ARKANSAS EASTER SEAL SOCIETY
Practice Location Address:
3920 WOODLAND HEIGHTS RD
LITTLE ROCK, AR
72212-2495
Practice Phone: 501-227-3662
Practice Fax: 501-227-3658
1417082140 — ARKANSAS EASTER SEAL SOCIETY
Practice Location Address:
3920 WOODLAND HEIGHTS RD
LITTLE ROCK, AR
72212-2495
Practice Phone: 501-227-3662
Practice Fax: 501-227-3658
1801924394 — NICOLE WATTS NEWCOME OT
Practice Location Address:
3920 WOODLAND HEIGHTS RD
LITTLE ROCK, AR
72212-2495
Practice Phone: 501-227-3600
Practice Fax:
1679603799 — MRS. JODI LEE EATON OTRL
Practice Location Address:
3920 WOODLAND HEIGHTS RD
LITTLE ROCK, AR
72212-2495
Practice Phone: 501-315-4414
Practice Fax: 501-315-3467

Directions to “EASTER SEALS ARKANSAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.