Mr Carroll Eugene Walls Jr, OTR/L | |
1600 Riverfront Drive, Little Rock, AR 72202-3121 | |
(501) 663-6965 | |
(501) 603-0675 |
Full Name | Mr Carroll Eugene Walls Jr |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 32 Years |
Location | 1600 Riverfront Drive, Little Rock, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669623492 | NPI | - | NPPES |
134290721 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR592 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harris And Renshaw Rehab Center, Inc. | 1557496205 | 15 |
Provider Name | Harris & Renshaw Rehab Center, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336478031 PECOS PAC ID: 1557496205 Enrollment ID: O20100319000097 |
Mailing Address | Practice Location Address |
---|---|
Mr Carroll Eugene Walls Jr, OTR/L 10712 Yosemite Valley Dr, Little Rock, AR 72212-3659 Ph: (501) 681-4448 | Mr Carroll Eugene Walls Jr, OTR/L 1600 Riverfront Drive, Little Rock, AR 72202-3121 Ph: (501) 663-6965 |
Mr. Mark Bryan Ellis, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9601 Interstate 630 Exit 7, Little Rock, AR 72205 Phone: 501-202-7598 | |
Dr. Whitney Harper, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9000 N Rodney Parham Rd, Little Rock, AR 72205 Phone: 501-503-5160 | |
Mrs. Barbara Jean Wilson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 547-11, Little Rock, AR 72205 Phone: 501-686-6102 Fax: 501-296-1216 | |
Tiffany Vo Goodwin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 W Markham St, Little Rock, AR 72201 Phone: 501-447-1043 | |
Mr. Noah Robert Hansen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10618 Breckenridge Dr, Little Rock, AR 72211 Phone: 501-217-8600 Fax: 501-217-8636 | |
Amber Douglas, OTR/L, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 629 Jack Stephens Dr, Rehabilitation Services, Little Rock, AR 72205 Phone: 501-526-5770 | |
Mrs. Shannon Leigh Taylor, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9601 I-630 Exit 7, Little Rock, AR 72205 Phone: 501-202-7598 |