Organization
BLUE ROSE PHYSICAL THERAPY - WEST LITTLE ROCK LLC
Active
Other names
Blue Rose Physical Therapy - West Little Rock
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN DOCKERY DR (OWNER/CEO)
(501) 802-2844
Entity
Organization
Contact information
Practice address
1 HUNTINGTON RD, LITTLE ROCK, AR 72227-2306
(501) 904-2778
(866) 724-7887
Mailing address
PO BOX 15538, LITTLE ROCK, AR 72231-5538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
11/07/2024
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