Provider Demographics
NPI:1952670895
Name:HUNTER, DARBY ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:
First Name:DARBY
Middle Name:ELIZABETH
Last Name:HUNTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 MILLCREEK DR
Mailing Address - Street 2:
Mailing Address - City:ARKADELPHIA
Mailing Address - State:AR
Mailing Address - Zip Code:71923-3024
Mailing Address - Country:US
Mailing Address - Phone:870-403-1752
Mailing Address - Fax:
Practice Address - Street 1:1608 MILLCREEK DR
Practice Address - Street 2:
Practice Address - City:ARKADELPHIA
Practice Address - State:AR
Practice Address - Zip Code:71923-3024
Practice Address - Country:US
Practice Address - Phone:870-403-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2422225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist