Provider Demographics
NPI:1902133663
Name:TURNEY, PEARL AMBER (OTRL)
Entity Type:Individual
Prefix:MISS
First Name:PEARL
Middle Name:AMBER
Last Name:TURNEY
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 HIDDEN MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-4940
Mailing Address - Country:US
Mailing Address - Phone:870-584-9126
Mailing Address - Fax:501-565-5700
Practice Address - Street 1:2001 CLUB MANOR DR STE G
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-7417
Practice Address - Country:US
Practice Address - Phone:866-251-1227
Practice Address - Fax:866-251-1267
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2151225XG0600X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist