Reddell, Toni Conville

Reddell, Toni Conville is an individual health care provider with primary practice located at 5 Remington Dr , Little Rock AR 72204-8202. 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. Reddell, Toni Conville can be contacted via phone (501) 850-8788.

Contact Information

Primary practice address
5 Remington Dr Little Rock AR 72204-8202
Phone: (501) 850-8788
Fax: (501) 850-8791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1056 Arkansas

Profile Details

NPI number 1679625917
LBN Legal business name Reddell, Toni Conville
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 8th, 2012 - about 14 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 1679625917 NPPES
Arkansas Other 5U520 BCBS
Arkansas MEDICAID 143786721 BCBS

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