NPI 1336573583

Arkansas Therapy Outreach Contractor

Organisation Early Intervention Provider Agency Bryant, AR

Practice location

Address: 2615 N Prickett Rd STE 3, Bryant, AR 72022-7546
Phone: (501) 847-7337

Authorised official

Name: Charla Moore
Title: Speech Language Pathologist
Phone: (501) 358-9894

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Arkansas →

Registry record

NPI: 1336573583
Entity type: Organization
NPI issued: 23 Aug 2013
Record last updated: 23 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.