Provider Demographics
NPI:1841411881
Name:MEYER, CYNTHIA LYNN (OTR)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LYNN
Last Name:MEYER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:LYNN
Other - Last Name:FINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:1104 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-5414
Mailing Address - Country:US
Mailing Address - Phone:870-864-9442
Mailing Address - Fax:
Practice Address - Street 1:300 S WEST AVE
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-5936
Practice Address - Country:US
Practice Address - Phone:870-862-8131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1796225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist