Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OTR2049 | AR |
NPI | 1013055045 |
---|---|
Provider Name | Sarah Beth Dunlap |
First Address | Searcy, AR 72143-4751 |
Second Address | Searcy, AR 72143-4751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 06/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
162051721 | (05) | AR |
5Y711 | OCCUPATIONAL THERAPIST (01) | AR |