Johanna Bevis, | |
1500 Wilson Loop, Ward, AR 72176-8656 | |
(501) 941-1522 | |
Not Available |
Full Name | Johanna Bevis |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1500 Wilson Loop, Ward, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154190510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 3883 (Arkansas) | Primary |
Provider Name | Allied Therapy And Consulting Services, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134185937 PECOS PAC ID: 5597094920 Enrollment ID: O20190911000702 |
Mailing Address | Practice Location Address |
---|---|
Johanna Bevis, 5532 Jfk Blvd, North Little Rock, AR 72116-6708 Ph: (501) 588-3211 | Johanna Bevis, 1500 Wilson Loop, Ward, AR 72176-8656 Ph: (501) 941-1522 |
Glyn Elwin Sawyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Mr. Brad Thomas Westbrook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Zachary Fendley, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 Fax: 501-353-2599 | |
Mr. William Brian Brady, MS OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Kari Bridges, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 Fax: 501-843-2270 | |
Garrett Polk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 |