Basic Information
| Provider Information | |||||||||
| NPI: | 1265583132 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUREN | ||||||||
| FirstName: | CARA | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Credential: | MS OTRL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2819 WESTPORT CIR | ||||||||
| Address2: | |||||||||
| City: | CONWAY | ||||||||
| State: | AR | ||||||||
| PostalCode: | 720347530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013283243 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2740 COLLEGE AVENUE | ||||||||
| Address2: | |||||||||
| City: | CONWAY | ||||||||
| State: | AR | ||||||||
| PostalCode: | 720349310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013295459 | ||||||||
| FaxNumber: | 5013251378 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2007 | ||||||||
| LastUpdateDate: | 09/13/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XP0200X | OTR1948 | AR | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics |
No ID Information.