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Organization
HOME CARE PEDIATRIC THERAPY PA
Active
Organization
HOME CARE PEDIATRIC THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EDWARD VOGLER PT (SECRETARY)
(479) 858-6144
Entity
Organization
Contact information
Practice address
2315 HONEYSUCKLE LN, RUSSELLVILLE, AR 72801-5526
(479) 858-6144
(479) 858-6144
Mailing address
2315 HONEYSUCKLE LN, RUSSELLVILLE, AR 72801-5526
(479) 858-6144
(479) 858-6144
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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