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Contact Information

LEWIS T HARRELL
MIRACLE KIDS SUCCESS ACADMEY
1005 BALCOM LANE
TRUMANN, AR72472
 Phone: 870-418-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LEWIS T HARRELL · (Male)

NPI # 1093534133
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2024
Last updated 10/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR License # OT-A1704
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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