Whalio Doctors

NPI 1831313006

Amber Glascock, OTR

Practitioner Specialist Lake Village, AR

Practice location

Address
216 Main St, Lake Village, AR 71653-1916
Phone
(870) 265-3950
Fax
(870) 265-2525

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence OTR2103 (AR)

Registry record

NPI
1831313006
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Apr 2007
Record last updated
8 Jul 2007

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.