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NPI Code Detail

MEDICARE: MRS. CHRISTY LEIGHT ALBERTSON OTRL

MEDICARE: MRS. CHRISTY LEIGHT ALBERTSON OTRL
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 TherapistOTR1437AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2OTR1437OTHERARSTATE LICENSE NUMBER
31032312OTHERARNBCOT CERT
4119337OTHERTXTEXAS BOARD OF OCCUPATIONAL THERAPY

General Provider Information

NPI Number : 1851553200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTY LEIGHT ALBERTSON OTRL
Provider Business Mailing Address
First Line : 10668 LYDIA LN
Second Line :
City : DANVILLE
State : AR
Zip : 72833-6890
Country : US
Telephone Number : 479-495-6326
Fax Number : 479-495-3336
Provider Business Practice Location Address
First Line : 1321 PARK BAYOU DR
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1507
Country : US
Telephone Number : 281-556-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2008
Last Update Date : 12/17/2018

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