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NPI Code Detail

MEDICARE: CYNTHIA L SEEVERS, LLC

MEDICARE: CYNTHIA L SEEVERS, LLC
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 Therapist

General Provider Information

NPI Number : 1932668860
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYNTHIA L SEEVERS, LLC
Provider Business Mailing Address
First Line : 4508 BRIDLE CREEK RD
Second Line :
City : DES ARC
State : AR
Zip : 72040-8257
Country : US
Telephone Number : 870-256-5885
Fax Number :
Provider Business Practice Location Address
First Line : 901 E BEEBE CAPPS EXPY
Second Line :
City : SEARCY
State : AR
Zip : 72143-6865
Country : US
Telephone Number : 870-256-5885
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CYNTHIA LAJEAN SEEVERS
Credential : OTR/L
Telephone Number : 870-256-5885
Provider Enumeration Date : 03/19/2019
Last Update Date : 03/19/2019

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