Reddell, Toni Conville
Reddell, Toni Conville is an individual health care provider with primary practice located at 5 Remington Dr , Little Rock AR 72204-8202. 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. Reddell, Toni Conville can be contacted via phone (501) 850-8788.Contact Information
Primary practice address
5 Remington Dr
Little Rock AR 72204-8202
Phone: (501) 850-8788
Fax: (501) 850-8791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTR1056 | Arkansas |
Profile Details
| NPI number | 1679625917 |
|---|---|
| LBN Legal business name | Reddell, Toni Conville |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Aug 8th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679625917 | NPPES |
| Arkansas | Other | 5U520 | BCBS |
| Arkansas | MEDICAID | 143786721 | BCBS |
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