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Organization
ARKANSAS REGIONAL THERAPY SERVICES, LLC
Active
Organization
ARKANSAS REGIONAL THERAPY SERVICES, LLC
Active
Other names
Arkansas Regional Therapy Services (with no LLC)
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY C BROWN MS CCC-SLP (OWNER)
(479) 283-4637
Entity
Organization
Contact information
Practice address
1875 MAIN DR, FAYETTEVILLE, AR 72704-5220
(479) 283-4637
Mailing address
1875 MAIN DR, FAYETTEVILLE, AR 72704-5220
(479) 283-4637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2109
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178988742
—
AR
01
—
5G158
BCBS
AR
Enumeration date
04/13/2009
Last updated
10/28/2023
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