Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OTR338 | AR |
NPI | 1114972239 |
---|---|
Provider Name | Ms. Belinda C Greer |
First Address | Conway, AR 72034 |
Second Address | Conway, AR 72034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 16/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
209227721 | (05) | AR |
5Y052 | BCBS (01) | AR |
710857801 | QUALCHOICE (01) | AR |
A002 | TRICARE (01) | AR |