Tillie Stracener
Occupational Therapist in Searcy, AR. Organization (NPI-2).
NPI number1194170100
StatusActive
Last updated in NPPESApr 27, 2016
Details
- NPI
- 1194170100
- Entity type
- Organization (NPI-2)
- Legal business name
- Tillie Stracener
- Organization subpart
- No
- Enumeration date
- Apr 27, 2016
- Last updated
- Apr 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-A1090 | AR | Yes |
Practice location
701 Valley CtSearcy, AR 72143-7087
Phone 501-281-6677
Mailing address
701 Valley CtSearcy, AR 72143-7087
Phone 501-281-6677
Authorized official
Tillie Stracener
Occupational Therapist
5012816677
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