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MS. CHRISTY L. CHEATHAM O.T.
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1245254564
Individual Registrant:MS. CHRISTY L. CHEATHAM O.T.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1010 N DUDNEY RD SUITE D MAGNOLIA, AR 71753-2624 US
Tel: 870-234-2299 Fax: 870-234-2274
Tel: 870-234-2299 Fax: 870-234-2274
Contact information for business:
1010 N DUDNEY RD SUITE D MAGNOLIA, AR 71753-2624 US
Tel: 870-234-2255 Fax: 870-234-2274
Tel: 870-234-2255 Fax: 870-234-2274
Registration Information:
NPI: 1245254564
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 | OTR1343 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 162928721 | AR | 05 |
