Samuel Ross Holloway, | |
956 Mathias Dr, Springdale, AR 72762-0985 | |
(479) 419-9911 | |
Not Available |
Full Name | Samuel Ross Holloway |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 956 Mathias Dr, Springdale, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740983121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Cherokee Nation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
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Samuel Ross Holloway, 44 Vigne Blvd, Little Rock, AR 72223-4582 Ph: (501) 350-4138 | Samuel Ross Holloway, 956 Mathias Dr, Springdale, AR 72762-0985 Ph: (479) 419-9911 |
Taylor Stricklin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 956 Mathias Dr, Springdale, AR 72762 Phone: 479-419-9911 | |
Justin Silveira, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 956 Mathias Dr, Springdale, AR 72762 Phone: 479-419-9911 | |
Bailey Hudson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2070 Mckenzie Rd, Springdale, AR 72762 Phone: 479-750-7778 | |
Dr. Moriah Hatfield, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2070 Mckenzie Rd Ste C, Springdale, AR 72762 Phone: 479-750-7778 | |
Mrs. Elizabeth Allred Cottrell, MS, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 W Maple Ave, Springdale, AR 72764 Phone: 479-750-6240 Fax: 479-750-6627 | |
Craig Hladun, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2070 Mckenzie Rd, Suite C, Springdale, AR 72762 Phone: 870-404-3243 | |
Mrs. Nereyda Manatt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 956 Mathias Dr, Springdale, AR 72762 Phone: 479-419-9911 |