Provider Demographics
NPI:1679294441
Name:APPLEGET, JOANNA (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:APPLEGET
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 ASHLEY FAITH DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHSIDE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-5020
Mailing Address - Country:US
Mailing Address - Phone:870-613-0621
Mailing Address - Fax:
Practice Address - Street 1:2800 NEELEY ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-6208
Practice Address - Country:US
Practice Address - Phone:870-613-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2436225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty