Ladymon, Rachel

Ladymon, Rachel is an individual health care provider with primary practice located at 1760 N Woodland Ave , Fayetteville AR 72703. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ladymon, Rachel can be contacted via phone (479) 443-4420.

Contact Information

Primary practice address
1760 N Woodland Ave Fayetteville AR 72703
Phone: (479) 443-4420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2016012196 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR2898 Arkansas

Profile Details

NPI number 1770036782
LBN Legal business name Ladymon, Rachel
Credentials M.S., OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated May 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770036782 NPPES
Arkansas MEDICAID 224283721

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