Individual provider · Type 1 NPI

Julian Wade Ivy, OT

Occupational Therapist · Russellville, AR

NPI number 1225547516 Active

Practice location

301 N Sidney Ave
Russellville, AR 72801-4383

Call (479) 890-5494 Map

Fax (479) 967-0069

Mailing address

2740 College Ave
Conway, AR 72034-6141

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1225547516

Julian Wade Ivy, OT's National Provider Identifier is 1225547516, issued on Sep 29, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Russellville, AR. The record was last updated on Sep 29, 2017.