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Organization
PHYSICAL THERAPY ADVANTAGE, LLC
Active
Organization
PHYSICAL THERAPY ADVANTAGE, LLC
Active
Other names
Check Home Safety.com
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY GLENN DPT (PHYSICAL THERAPIST)
(501) 519-0144
Entity
Organization
Contact information
Practice address
52 DUCLAIR CT, LITTLE ROCK, AR 72223-9570
(501) 519-0144
Mailing address
52 DUCLAIR CT, LITTLE ROCK, AR 72223-9570
(501) 519-0144
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1240
AR
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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