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MICHAEL MARTIN OTRL

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1942346473

Individual Registrant:
 MICHAEL  MARTIN OTRL
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4450 SMACKOVER HWY  SMACKOVER, AR 71762-9533 US
Tel: 870-725-2497  Fax: 870-725-2517

Contact information for business:
1098 OLD STRONG HWY  STRONG, AR 71765-9560 US
Tel: 870-797-7802  Fax: --

Registration Information:
NPI: 1942346473
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
AROTR1447

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
156989721AR05
BLUE CROSS BLUE SHIELD5Y181AR01




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