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Organization
WATERMARK THERAPY LLC
Active
Organization
WATERMARK THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SOHN MCLEAN LPTA (MANAGING MEMBER)
(870) 877-1144
Entity
Organization
Contact information
Practice address
866 HEMPSTEAD 9, HOPE, AR 71801-9378
(870) 877-1144
Mailing address
3410 JACK CULLEN DR, TEXARKANA, AR 71854-2548
(870) 877-1144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
NULL
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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