# PHYSICAL THERAPY ADVANTAGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Check Home Safety.com
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184982894
- **Authorized official:** MRS. KELLEY GLENN DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (501) 519-0144

## Contact information

- **Practice address:** 52 DUCLAIR CT, LITTLE ROCK, AR 72223-9570
- **Practice address phone:** (501) 519-0144
- **Mailing address:** 52 DUCLAIR CT, LITTLE ROCK, AR 72223-9570
- **Mailing address phone:** (501) 519-0144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 1240 | AR | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012