Provider Demographics
NPI:1326650771
Name:PARROTT, SAVANNAH (OTD)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:PARROTT
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 CARROLL RD
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-6007
Mailing Address - Country:US
Mailing Address - Phone:187-089-7237
Mailing Address - Fax:
Practice Address - Street 1:1110 CARROLL RD
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-6007
Practice Address - Country:US
Practice Address - Phone:187-089-7237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist