Provider Demographics
NPI:1982700555
Name:BROWN, DEBORAH P (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:P
Last Name:BROWN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:DEBBIE
Other - Middle Name:P
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:500 W. WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756
Mailing Address - Country:US
Mailing Address - Phone:479-636-3910
Mailing Address - Fax:479-202-9100
Practice Address - Street 1:2100 WEST PERRY RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758
Practice Address - Country:US
Practice Address - Phone:479-631-3515
Practice Address - Fax:479-202-9105
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1434225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5Y320OtherBLUE CROSS BLUE SHIELD
AR138307721Medicaid