| Wildflower Pediatric Therapy, Llc | |
|
203 Blair Cir, Pea Ridge, AR 72751-3182 | |
| (662) 322-3187 | |
| (662) 322-3187 |
| Full Name | Wildflower Pediatric Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 203 Blair Cir, Pea Ridge, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811837073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wildflower Pediatric Therapy, Llc 203 Blair Cir, Pea Ridge, AR 72751-3182 Ph: (662) 322-3187 | Wildflower Pediatric Therapy, Llc 203 Blair Cir, Pea Ridge, AR 72751-3182 Ph: (662) 322-3187 |
Kobe Rose, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16192 Easterling Rd, Pea Ridge, AR 72751 Phone: 479-445-4133 | |
Kacie B White, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Blair Cir, Pea Ridge, AR 72751 Phone: 662-322-3187 |