Everitt, Tara

Everitt, Tara is an sole proprietor health care provider with primary practice located at 4901 N Shore Dr , North Little Rock AR 72118-5293. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Everitt, Tara can be contacted via phone (501) 791-3331.

Contact Information

Primary practice address
4901 N Shore Dr North Little Rock AR 72118-5293
Phone: (501) 791-3331
Fax: (501) 791-0294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0TR1158 Arkansas

Profile Details

NPI number 1619032588
LBN Legal business name Everitt, Tara
Credentials OCCUPATIONAL THERAPI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619032588 NPPES
Arkansas Other 5U882 BLUE CROSS BLUE SHIELD

Popular Providers