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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALAN GLENN DAUGHERTY, OTR/L

Active Sole Proprietor

ALAN GLENN DAUGHERTY, OTR/L is a Gerontology Occupational Therapist healthcare provider located in ARKADELPHIA, Arkansas. NPI 1508496019 is currently active in the NPPES registry. Verify at CMS.

Gerontology Occupational Therapist · ARKADELPHIA, AR

Registration Details

NPI Number
1508496019
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2020 (6.591300599547 yrs)
Last Updated
Jan 23, 2020
License
OT1323 (AR)
Sole Proprietor
Yes

Practice Information

Address
2701 TWIN RIVERS DR
ARKADELPHIA, AR, 719234211
Browse AR providers · Browse ZIP 71923
Phone
8792465566
Primary Specialty
Gerontology Occupational Therapist
225XG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.