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Organization
STI WORK CARE
Active
Organization
STI WORK CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SLADER AGEE (PRESIDENT & CEO)
(479) 249-9944
Entity
Organization
Contact information
Practice address
1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
(479) 249-9944
(479) 249-9894
Mailing address
3511 SE J ST, STE 9 PMB 239, BENTONVILLE, AR 72712-3856
(479) 249-9944
(479) 249-9894
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
AR
247200000X
Other Technician
Primary
—
AR
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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