Provider Demographics
NPI:1184789620
Name:HAROLD, TERRIE L (MS, OTR L)
Entity type:Individual
Prefix:MS
First Name:TERRIE
Middle Name:L
Last Name:HAROLD
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 1:121 CORTEZ RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-6101
Mailing Address - Country:US
Mailing Address - Phone:501-922-1377
Mailing Address - Fax:501-922-3321
Practice Address - Street 1:121 CORTEZ RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-6101
Practice Address - Country:US
Practice Address - Phone:501-922-1377
Practice Address - Fax:501-922-3321
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR 1997174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist