Provider Demographics
NPI:1528189032
Name:REED, WILLIAM LEONARD JR (OTR)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LEONARD
Last Name:REED
Suffix:JR
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:LINN
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:317 DOGWOOD PLACE DR
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-2839
Mailing Address - Country:US
Mailing Address - Phone:501-847-1511
Mailing Address - Fax:501-847-1511
Practice Address - Street 1:317 DOGWOOD PLACE DR
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-2839
Practice Address - Country:US
Practice Address - Phone:501-847-1511
Practice Address - Fax:501-847-1511
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1284225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist