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NPI Code Detail

MEDICARE: PHARIS CLINGAN

MEDICARE: PHARIS CLINGAN
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 TherapistOTR2817AR
2225X00000XOccupational TherapistAR

General Provider Information

NPI Number : 1619481652
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHARIS CLINGAN
Provider Business Mailing Address
First Line : 5918 SKYVIEW CIRCLE EAST
Second Line :
City : VAN BUREN
State : AR
Zip : 72956
Country : US
Telephone Number : 479-561-9334
Fax Number :
Provider Business Practice Location Address
First Line : 2805 ALMA HWY
Second Line :
City : VAN BUREN
State : AR
Zip : 72956-5021
Country : US
Telephone Number : 479-561-9334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2017
Last Update Date : 07/30/2025

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Directions to “ PHARIS CLINGAN ” Practice Location

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