Provider Demographics
NPI:1578710729
Name:REEVES, PAIGE D (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:D
Last Name:REEVES
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:PAIGE
Other - Middle Name:R
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:205 WOLF STREET
Mailing Address - Street 2:
Mailing Address - City:PEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:71964
Mailing Address - Country:US
Mailing Address - Phone:501-767-2306
Mailing Address - Fax:
Practice Address - Street 1:240 WOLF STREET
Practice Address - Street 2:
Practice Address - City:PEARCY
Practice Address - State:AR
Practice Address - Zip Code:71964
Practice Address - Country:US
Practice Address - Phone:501-767-8725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA220155224Z00000X
TX210243224Z00000X
AROT-A519224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant