Provider Demographics
NPI:1346440567
Name:BILLINGSLEY, AMBER LEIGH (OTR)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:LEIGH
Last Name:BILLINGSLEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 N FORREST ST
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335-2870
Mailing Address - Country:US
Mailing Address - Phone:870-768-5092
Mailing Address - Fax:870-633-3304
Practice Address - Street 1:722 N FORREST ST
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-2870
Practice Address - Country:US
Practice Address - Phone:870-768-5092
Practice Address - Fax:870-633-3304
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1949225X00000X
AROTR-1949225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist