Individual provider · Type 1 NPI

Angel Moran

Developmental Therapist · Bryant, AR

NPI number 1770711186 Active

Practice location

908 N Reynolds Rd
Bryant, AR 72022-3034

Mailing address

PO Drawer 2109
Russellville, AR 72811

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1770711186

Angel Moran's National Provider Identifier is 1770711186, issued on Jun 24, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bryant, AR. The record was last updated on Jun 24, 2009.