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MRS. REMEDIOS MAGTOTO ADAMOS OTR/L
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1194701185
Individual Registrant:MRS. REMEDIOS MAGTOTO ADAMOS OTR/L
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
197 S. WALMART DRIVE HARRISON, AR 72601-1984 US
Tel: 870-715-2705 Fax: --
Tel: 870-715-2705 Fax: --
Contact information for business:
3008 JADE DR HARRISON, AR 72601-1864 US
Tel: 870-715-2705 Fax: --
Tel: 870-715-2705 Fax: --
Registration Information:
NPI: 1194701185
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | AR | OTR1809 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 5X245 | AR | 01 |
| 149139721 | AR | 05 |
