Roach, Susan Whitney

Roach, Susan Whitney is an sole proprietor health care provider with primary practice located at 1500 Museum Rd Ste 104 , Conway AR 72032-4761. 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. Roach, Susan Whitney can be contacted via phone (501) 329-3804.

Contact Information

Primary practice address
1500 Museum Rd Ste 104 Conway AR 72032-4761
Phone: (501) 329-3804
Fax: (501) 329-0718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1779 Arkansas

Profile Details

NPI number 1023114923
LBN Legal business name Roach, Susan Whitney
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1023114923 NPPES
Other 1061897 NBCOT
Other OTR1779 NBCOT

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