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Organization
BUILDING BRIDGES THERAPY CENTER
Active
Organization
BUILDING BRIDGES THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER N. POWELL SLPA (SPEECH PATHOLOGY ASSISTANT)
(501) 620-8801
Entity
Organization
Contact information
Practice address
316 BLACKFIN DR, RUSSELLVILLE, AR 72802-2295
(501) 467-0101
Mailing address
820 E HIGHWAY 171, HOT SPRINGS, AR 71913-8614
(501) 620-8801
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
06-005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162049721
—
AR
Enumeration date
05/14/2007
Last updated
06/16/2008
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