Amanda Kathlene Dixon Huddleston
Occupational Therapist - Physical Rehabilitation
5052 W Waverly Rd
Fayetteville
, Arkansas 72704-6957
Amanda Kathlene Dixon Huddleston
Occupational Therapist - Physical Rehabilitation
5052 W Waverly Rd
Fayetteville
, Arkansas 72704-6957
(918) 261-4023
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Amanda Kathlene Dixon Huddleston
- 5052 W Waverly Rd
- Fayetteville, AR
- Zip : 72704-6957
- Phone : (918) 261-4023
Second Address
- Amanda Kathlene Dixon Huddleston
- 5052 W Waverly Rd
- Fayetteville, AR
- Zip : 72704-6957
- Phone : (918) 261-4023
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Is Amanda Kathlene Dixon Huddleston a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 1518 | OK |
National Provider Identifier
| NPI | 1265745418 |
|---|---|
| Provider Name | Amanda Kathlene Dixon Huddleston |
| First Address | Fayetteville, AR 72704-6957 |
| Second Address | Fayetteville, AR 72704-6957 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2010 |
| Last Update Date | 20/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1518 | OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION (01) | OK |
| OTR2862 | ARKANSAS STATE MEDICAL BOARD (01) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.