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Organization
ABSOLUTE PEDIATRIC THERAPY
Active
Organization
ABSOLUTE PEDIATRIC THERAPY
Active
Other names
Absolute Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TICIA JONES (OFFICE MANAGER)
(479) 250-4355
Entity
Organization
Contact information
Practice address
2713 SE I ST STE 5, BENTONVILLE, AR 72712-0078
(479) 250-4355
(479) 553-7954
Mailing address
2713 SE I ST STE 5, BENTONVILLE, AR 72712-0078
(479) 250-4355
(479) 553-7954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
711
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220393742
—
AR
Enumeration date
05/18/2017
Last updated
03/17/2018
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