# WATERMARK THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841833365
- **Authorized official:** MR. ROBERT SOHN MCLEAN LPTA (MANAGING MEMBER)
- **Authorized official phone:** (870) 877-1144

## Contact information

- **Practice address:** 866 HEMPSTEAD 9, HOPE, AR 71801-9378
- **Practice address phone:** (870) 877-1144
- **Mailing address:** 3410 JACK CULLEN DR, TEXARKANA, AR 71854-2548
- **Mailing address phone:** (870) 877-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 10/28/2019