| Ms Julie Goggins Brazil, OCCUPATIONAL THERAPI | |
|
1500 Wilson Loop, Ward, AR 72176 | |
| (501) 941-5630 | |
| Not Available |
| Full Name | Ms Julie Goggins Brazil |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1500 Wilson Loop, Ward, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720128762 | NPI | - | NPPES |
| 120324721 | Medicaid | AR | |
| 5X311 | Other | AR | BLUE CROSS BLUE SHIELD |
| OTR503 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR503 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Julie Goggins Brazil, OCCUPATIONAL THERAPI 1434 Fern Creek Circle, Benton, AR 72019-9609 Ph: (501) 772-6667 | Ms Julie Goggins Brazil, OCCUPATIONAL THERAPI 1500 Wilson Loop, Ward, AR 72176 Ph: (501) 941-5630 |
Glyn Elwin Sawyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Mr. Brad Thomas Westbrook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Zachary Fendley, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 Fax: 501-353-2599 | |
Johanna Bevis, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-1522 | |
Mr. William Brian Brady, MS OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Kari Bridges, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 Fax: 501-843-2270 | |
Garrett Polk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 |