Provider Demographics
NPI:1427876614
Name:PERLEY, LOIDA EUNICE (OTR)
Entity type:Individual
Prefix:DR
First Name:LOIDA
Middle Name:EUNICE
Last Name:PERLEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:DR
Other - First Name:LOIDA
Other - Middle Name:EUNICE
Other - Last Name:MUNDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1601 DAVIS ST APT 5
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-3266
Mailing Address - Country:US
Mailing Address - Phone:479-747-5240
Mailing Address - Fax:
Practice Address - Street 1:304 SORENSON ST
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-3473
Practice Address - Country:US
Practice Address - Phone:501-246-5191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist