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Organization
OMNIS REHAB L.L.C
Active
Organization
OMNIS REHAB L.L.C
Active
Other names
Omnis Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX PAUL BRADY DECLERK D.C. (OWNER)
(501) 454-4528
Entity
Organization
Contact information
Practice address
12120 COLONEL GLENN RD STE 5200, LITTLE ROCK, AR 72210-2824
(501) 454-4528
Mailing address
12120 COLONEL GLENN RD STE 6200, LITTLE ROCK, AR 72210-2370
(501) 313-2844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15639
AR
Other
Enumeration date
09/11/2015
Last updated
03/07/2022
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