Imagine Occupational Therapy Services

NPI #1124241120 in Bentonville, Arkansas

Provider Information

NPI Number: 1124241120
Entity Type: Organization
Organization Name: Imagine Occupational Therapy Services
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 10, 2007
Last Updated: Mar 24, 2016

Practice Location

Address: 1601 GREENHOUSE RD.
City: Bentonville
State: Arkansas
ZIP Code: 72712-9292
Phone: (479) 795-1260

Authorized Official

Name: MRS. TABITHA DAWN RICHISON, OTR
Title: PRESIDENT
Phone: (479) 795-1260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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