Provider Demographics
NPI:1356485866
Name:TOWNSLEY, JANET (OTRL)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:TOWNSLEY
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1152 OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-8320
Mailing Address - Country:US
Mailing Address - Phone:870-269-3567
Mailing Address - Fax:
Practice Address - Street 1:1152 OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-8320
Practice Address - Country:US
Practice Address - Phone:870-269-7529
Practice Address - Fax:870-269-2840
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR439174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5S361OtherBLUE CROSS BLUE SHIELD