CREATIVE PEDIATRIC OCCUPATIONAL THERAPY, INC
Restorative Service Providers at Joyce Blvd, Fayetteville, AR

License number
Arkansas OTR582
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: MRS. ELLEN KAY BRUCE OTR/L
Title: PRESIDENT
Phone: (479) 409-5067
Address
Address 2
2474 E Joyce Blvd SUITE 3, Fayetteville, AR 72703
PO Box 778, Elkins, AR 72727
National Provider ID: 1932172608
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CREATIVE PEDIATRIC OCCUPATIONAL THERAPY, INC

2474 E Joyce Blvd SUITE 2, Fayetteville, AR 72703

Registration:
Aug 13, 1998
State ID:
100161935
Business type:
For Profit Corporation
Presidents:
James R. Adams (Tax Preparer),Ellen K. Bruce (President)
Agent:
Ellen K Bruce,2474 E Joyce Blvd SUITE 2, Fayetteville, AR 72703 (Physical)
Filled under act:
Dom Bus Corp; 958 of 1987

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