| Imagine Pediatric Therapies | |
|
1601 Greenhouse Rd., Bentonville, AR 72712-9292 | |
| (479) 795-1260 | |
| (479) 795-1261 |
| Full Name | Imagine Pediatric Therapies |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 1601 Greenhouse Rd., Bentonville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124241120 | NPI | - | NPPES |
| 162908742 | Medicaid | AR | |
| 5F709 | Other | AR | BCBS |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Pediatric Therapies 1601 Greenhouse Rd., Bentonville, AR 72712-9292 Ph: (479) 795-1260 | Imagine Pediatric Therapies 1601 Greenhouse Rd., Bentonville, AR 72712-9292 Ph: (479) 795-1260 |
Tabitha Dawn Cooper, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713 Phone: 479-795-1260 Fax: 479-795-1261 | |
Mrs. Callie Antuna, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Tiger Blvd, Bentonville, AR 72712 Phone: 479-254-5065 | |
Dr. Olivia Claire Brown, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713 Phone: 479-795-1260 | |
Mr. Kevin Timothy Lucas, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3102 Nw Alberta, Bentonville, AR 72712 Phone: 479-685-3404 | |
Maggie B Grymes, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3201 Sw Regency Pkwy Ste 5, Bentonville, AR 72712 Phone: 479-252-3321 | |
Molly Mcgehee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2713 Se I St Ste 5, Bentonville, AR 72712 Phone: 479-250-4355 Fax: 479-250-4355 | |
Lauren Vavra, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Tiger Blvd, Bentonville, AR 72712 Phone: 501-317-7880 |