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Organization
THERATEAM REHAB SERVICES
Active
Organization
THERATEAM REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REEDA RUTH WILLIAMSON M.S.E., CCC-SLP (PRESIDENT/SPEECH LANGUAGE PATHOLOGI)
(501) 868-4760
Entity
Organization
Contact information
Practice address
20900 ROLAND HEIGHTS RD, ROLAND, AR 72135-9685
(501) 868-4760
(501) 868-6498
Mailing address
20900 ROLAND HEIGHTS RD, ROLAND, AR 72135-9685
(501) 868-4760
(501) 868-6498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP #1076
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148906742
—
AR
01
—
5F297
BCBS GROUP PROVIDER #
AR
Enumeration date
04/29/2006
Last updated
06/20/2008
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