Provider Demographics
NPI:1932668860
Name:CYNTHIA L SEEVERS, LLC
Entity Type:Organization
Organization Name:CYNTHIA L SEEVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LAJEAN
Authorized Official - Last Name:SEEVERS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:870-256-5885
Mailing Address - Street 1:4508 BRIDLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DES ARC
Mailing Address - State:AR
Mailing Address - Zip Code:72040-8257
Mailing Address - Country:US
Mailing Address - Phone:870-256-5885
Mailing Address - Fax:
Practice Address - Street 1:901 E BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-6865
Practice Address - Country:US
Practice Address - Phone:870-256-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty