Organization
PEDIATRIC THERAPY WORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MARTIN MCD, CCC-SLP (OWNER)
(870) 932-0786
Entity
Organization
Contact information
Practice address
401 COUNTY ROAD 111, BONO, AR 72416-8116
(870) 932-0786
Mailing address
401 COUNTY ROAD 111, BONO, AR 72416-8116
(870) 932-0786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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