| Michael Derek Law, | |
|
3918 Pecan Grove Rd, Rudy, AR 72952-9026 | |
| (479) 632-6337 | |
| (479) 632-5916 |
| Full Name | Michael Derek Law |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 3918 Pecan Grove Rd, Rudy, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417989047 | NPI | - | NPPES |
| 5U320 | Other | AR | BLUE CROSS BS PROV.# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR1473 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Derek Law, 3014 W Main St, Charleston, AR 72933-9007 Ph: (479) 632-6337 | Michael Derek Law, 3918 Pecan Grove Rd, Rudy, AR 72952-9026 Ph: (479) 632-6337 |
Justin Suggs, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
David Garman Wright, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
Elizabeth Diane Lott, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
Mrs. Debra L. Henderson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
Deron Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 Fax: 479-632-5916 | |
Sara Elizabeth Watkins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3918 Pecan Grove Rd, Rudy, AR 72952 Phone: 479-632-6337 |