Provider Demographics
NPI:1588219968
Name:REMY, SUZANNE CLAIRE (OT-R)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:CLAIRE
Last Name:REMY
Suffix:
Gender:F
Credentials:OT-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72927-3634
Mailing Address - Country:US
Mailing Address - Phone:479-675-6142
Mailing Address - Fax:479-675-3511
Practice Address - Street 1:17 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72927-3634
Practice Address - Country:US
Practice Address - Phone:479-675-6142
Practice Address - Fax:479-675-3511
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3627225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist