Provider Demographics
NPI:1376140368
Name:REFLECTIONS THERAPY INC
Entity Type:Organization
Organization Name:REFLECTIONS THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JADE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:VERGE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:918-675-0075
Mailing Address - Street 1:2 OLD GREENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6411
Mailing Address - Country:US
Mailing Address - Phone:479-459-0636
Mailing Address - Fax:
Practice Address - Street 1:105 E RAY FINE BLVD STE L
Practice Address - Street 2:
Practice Address - City:ROLAND
Practice Address - State:OK
Practice Address - Zip Code:74954-5331
Practice Address - Country:US
Practice Address - Phone:918-675-0075
Practice Address - Fax:918-675-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-03
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty