Tina Chung Hodges, OT | |
2200 Bruce St Ste 101, Conway, AR 72034-6108 | |
(501) 470-7457 | |
(501) 504-2105 |
Full Name | Tina Chung Hodges |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2200 Bruce St Ste 101, Conway, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942433149 | NPI | - | NPPES |
180268721 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | O-T0958 (Arkansas) | Primary |
Provider Name | University Of Central Arkansas |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912543240 PECOS PAC ID: 0042612244 Enrollment ID: O20210712000255 |
Mailing Address | Practice Location Address |
---|---|
Tina Chung Hodges, OT 2200 Bruce St Ste 101, Conway, AR 72034-6108 Ph: (501) 470-7457 | Tina Chung Hodges, OT 2200 Bruce St Ste 101, Conway, AR 72034-6108 Ph: (501) 470-7457 |
Andrea Martin, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Avenue, Conway, AR 72034 Phone: 501-329-5459 | |
Mrs. Susan Whitney Roach, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Museum Rd Ste 104, Conway, AR 72032 Phone: 501-329-3804 Fax: 501-329-0718 | |
Mrs. Kelly Anne Hartwick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Museum Rd Ste 104, Conway, AR 72032 Phone: 501-329-3804 Fax: 501-329-0718 | |
Casie Upton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459 Fax: 501-327-1738 | |
Marleigh Diane Mills Rink, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459 | |
Mitchell Reynolds, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 550 Club Ln, Conway, AR 72034 Phone: 501-327-2495 Fax: 205-683-2468 | |
Stephanie San Gilbert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459 |