Provider Demographics
NPI:1538595491
Name:STEELMAN, FAWNDA KAYE (OT)
Entity type:Individual
Prefix:MRS
First Name:FAWNDA
Middle Name:KAYE
Last Name:STEELMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 WEST MARKHAM #805
Mailing Address - Street 2:UAMS MEDICAL CENTER
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-526-5770
Mailing Address - Fax:501-526-5775
Practice Address - Street 1:4301 WEST MARKHAM #805
Practice Address - Street 2:UAMS MEDICAL CENTER
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-526-5770
Practice Address - Fax:501-526-5775
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR169225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist