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NPI Code Detail

MEDICARE: SARAH D JARVIS

MEDICARE: SARAH D JARVIS
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
1225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1598095614
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH D JARVIS
Provider Business Mailing Address
First Line : 25 WOODSTREAM CV
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4479
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N MISSISSIPPI ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72207-5851
Country : US
Telephone Number : 501-217-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2010
Last Update Date : 12/04/2023

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