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Organization
WONDERWORX PEDIATRIC THERAPY
Active
Organization
WONDERWORX PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORRI CHISM (PARTNER)
(501) 428-1918
Entity
Organization
Contact information
Practice address
504 S CRAWFORD ST # A, CLARKSVILLE, AR 72830-4006
(479) 345-8650
(479) 345-8657
Mailing address
PO BOX 133, SPRINGFIELD, AR 72157-0133
(501) 208-1401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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