Stephanie Tibbs is a Pediatrics in Conway, Arkansas. Stephanie Tibbs practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephanie Tibbs is 1194999391. The last update date is 2009-04-03.
Stephanie Tibbs's current location address is 1700 South Blvd, Conway, Arkansas. You can contact this provider via phone number 5013298102. The mailing address for Stephanie Tibbs is 1700 South Blvd, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Tibbs |
|---|---|
| Address | 1700 South Blvd, Conway, Arkansas |
| Phone Number | 5013298102 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1194999391 |
|---|---|
| Provider Enumeration Date | 2008-04-17 |
| Last Updated Date | 2009-04-03 |
Provider Mailing Address Detail
| Address | 1700 South Blvd |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 720346455 |
| Phone Number | 5013298102 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 1641 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 175509795 | AR | -- |
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What is the unique identification code assigned to Stephanie Tibbs by the Centers for Medicare & Medicaid Services?
The Stephanie Tibbs has been issued the NPI (National Provider Identifier) 1194999391. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephanie Tibbs located?
The Stephanie Tibbs is located at 1700 South Blvd, Conway, AR 720346455.
What is Stephanie Tibbs's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephanie Tibbs is Pediatrics, and the taxonomy code that classifies this field of practice is 225Xp0200X.
On what date did Stephanie Tibbs receive its 1194999391 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie Tibbs was assigned its 1194999391 on 2008-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stephanie Tibbs's details last updated?
The information pertaining to the Stephanie Tibbs, including its address, specialty, and other details, was most recently updated on 2009-04-03.