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NPI Code Detail

MEDICARE: DR. MARJORIE L PARSONS OTD, OTR/L

MEDICARE: DR. MARJORIE L PARSONS OTD, OTR/L
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 Therapist13846FL

General Provider Information

NPI Number : 1407184054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARJORIE L PARSONS OTD, OTR/L
Provider Business Mailing Address
First Line : PO BOX 585
Second Line :
City : PEA RIDGE
State : AR
Zip : 72751-0585
Country : US
Telephone Number : 479-986-5150
Fax Number : 479-986-5191
Provider Business Practice Location Address
First Line : 3307 N DIXIELAND RD
Second Line :
City : ROGERS
State : AR
Zip : 72756-6816
Country : US
Telephone Number : 479-986-5191
Fax Number : 479-986-5191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2009
Last Update Date : 03/12/2010

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