| Engage Of Jonesboro Pllc | |
|
4996 Aberdeen Rd, Jonesboro, AR 72401-8086 | |
| (612) 300-2039 | |
| (870) 533-5530 |
| Full Name | Engage Of Jonesboro Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 4996 Aberdeen Rd, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245760610 | NPI | - | NPPES |
| 1588044226 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR2798 (Arkansas) | Primary |
| Provider Name | Adrian Bushell Sportsman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174095129 PECOS PAC ID: 0547509127 Enrollment ID: I20190226000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Engage Of Jonesboro Pllc 4996 Aberdeen Rd, Jonesboro, AR 72401-8086 Ph: (612) 300-2039 | Engage Of Jonesboro Pllc 4996 Aberdeen Rd, Jonesboro, AR 72401-8086 Ph: (612) 300-2039 |
Allie Denton, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 E Matthews Ave Ste 105, Jonesboro, AR 72401 Phone: 870-333-5210 | |
Lesley Bauders, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3114 Fox Rd, Suite A, Jonesboro, AR 72404 Phone: 870-933-9294 | |
Heather Smith, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3005 Apache Dr, Jonesboro, AR 72401 Phone: 870-336-0238 Fax: 870-336-0239 | |
Mr. Jeremy Ryan Hart, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1607 Stone St, Jonesboro, AR 72401 Phone: 870-932-5551 Fax: 870-932-5552 | |
Emmanuelle Talib, OTD, R/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 Southwest Dr, Jonesboro, AR 72401 Phone: 870-932-0090 Fax: 870-932-9336 | |
Jennifer Clark Gardner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Stillwater Dr, Jonesboro, AR 72404 Phone: 870-932-3600 Fax: 870-932-3611 | |
Mrs. Terry Lee Spengler, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2811 Longview Dr, Suite C, Jonesboro, AR 72401 Phone: 870-974-9114 Fax: 870-974-9184 |