Provider Demographics
NPI:1972626315
Name:MUNGLE, APRIL ANN (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:ANN
Last Name:MUNGLE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:ANN
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 FRONTERA CIR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-3013
Mailing Address - Country:US
Mailing Address - Phone:501-922-3350
Mailing Address - Fax:
Practice Address - Street 1:7900 NORTH HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:JESSIEVILLE
Practice Address - State:AR
Practice Address - Zip Code:71949
Practice Address - Country:US
Practice Address - Phone:501-984-5665
Practice Address - Fax:501-984-4200
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1403225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics