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Organization
ADAPTIVE TEAM THERAPY SERVICES
Active
Organization
ADAPTIVE TEAM THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GLENN MS OTR/L (SOLE MEMBER)
(501) 413-9546
Entity
Organization
Contact information
Practice address
1001 N TYLER ST, LITTLE ROCK, AR 72205-1749
(501) 413-9546
(501) 325-1315
Mailing address
3722 GRACEFUL OAKS DR, BENTON, AR 72019-2028
(501) 413-9546
(501) 325-1315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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