Deann Lynn Roach is a Pediatrics in Sherwood, Arkansas. Deann Lynn Roach practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Deann Lynn Roach is 1912119165. The last update date is 2007-07-09.
Deann Lynn Roach's current location address is 111 Lagrue, Sherwood, Arkansas. You can contact this provider via phone number 5017791286. The mailing address for Deann Lynn Roach is 111 Lagrue, Sherwood, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Deann Lynn Roach |
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Address | 111 Lagrue, Sherwood, Arkansas |
Phone Number | 5017791286 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.S. P.T. |
NPI Number Detail
NPI Number | 1912119165 |
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Provider Enumeration Date | 2007-05-03 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 111 Lagrue |
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City | Sherwood |
State | Arkansas (AR) |
Post Code | 72120 |
Phone Number | 5017791286 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | 1467 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5T318 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Deann Lynn Roach by the Centers for Medicare & Medicaid Services?
The Deann Lynn Roach has been issued the NPI (National Provider Identifier) 1912119165. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Deann Lynn Roach's facilities are situated?
The facilities of Deann Lynn Roach are physically located at the following address: 111 Lagrue, Sherwood, AR, 72120.
What is Deann Lynn Roach's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Deann Lynn Roach is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
When was the Deann Lynn Roach's 1912119165 issued?
The Deann Lynn Roach's 1912119165 was issued on 2007-05-03.
When was the Deann Lynn Roach's information last updated?
The Deann Lynn Roach's information was last updated on 2007-07-09.