MEDICARE: MISS PEARL AMBER TURNEY 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
1	225XG0600X	Gerontology Occupational Therapist	2151	AR
2	225X00000X	Occupational Therapist	2151	AR

General Provider Information

NPI Number	:	1902133663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS PEARL AMBER TURNEY OTRL

Provider Business Mailing Address
First Line	:	306 HIDDEN MEADOWS DR
Second Line	:
City	:	BENTON
State	:	AR
Zip	:	72015-4940
Country	:	US
Telephone Number	:	870-584-9126
Fax Number	:	501-565-5700

Provider Business Practice Location Address
First Line	:	2001 CLUB MANOR DR STE G
Second Line	:
City	:	MAUMELLE
State	:	AR
Zip	:	72113-7417
Country	:	US
Telephone Number	:	866-251-1227
Fax Number	:	866-251-1267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2009
Last Update Date	:	01/10/2024

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