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Organization
ABC CHILDREN'S ACADEMY
Active
Organization
ABC CHILDREN'S ACADEMY
Active
Other names
Recovery Zone Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA WARREN PT (OWNER)
(479) 477-0385
Entity
Organization
Contact information
Practice address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-5048
(479) 968-1498
Mailing address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-5048
(479) 968-1498
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
AR
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176325778
—
AR
05
—
197932724
—
AR
05
—
197933724
—
AR
01
—
5F626
BCBS
AR
Enumeration date
03/06/2007
Last updated
10/11/2021
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