Provider Demographics
NPI:1407184054
Name:PARSONS, MARJORIE L (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:L
Last Name:PARSONS
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 585
Mailing Address - Street 2:
Mailing Address - City:PEA RIDGE
Mailing Address - State:AR
Mailing Address - Zip Code:72751-0585
Mailing Address - Country:US
Mailing Address - Phone:479-986-5150
Mailing Address - Fax:479-986-5191
Practice Address - Street 1:3307 N DIXIELAND RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-6816
Practice Address - Country:US
Practice Address - Phone:479-986-5191
Practice Address - Fax:479-986-5191
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13846225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist