OrganizationActive
Therapy Made Fun Inc
NPI 1750593828 · Contractor · Clarksville, AR
Provider details
- NPI number
- 1750593828
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Lagena Immel, Occupational Therapist(479) 754-2107
- License
- OTR1512 (AR)
Specialties & taxonomies
Other Service Providers
Practice location
1000 W Buchanan St
Clarksville, AR 72830-2252
Phone: (479) 754-6210
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1622
Clarksville, AR 72830-1622
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.