Organization
ABSOLUTE PEDIATRIC THERAPY
Active
Other names
Absolute Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TICIA JONES (OFFICE MANAGER)
(479) 250-4355
Entity
Organization
Contact information
Practice address
2713 SE I ST STE 5, BENTONVILLE, AR 72712-0078
(479) 250-4355
(479) 553-7954
Mailing address
2713 SE I ST STE 5, BENTONVILLE, AR 72712-0078
(479) 250-4355
(479) 553-7954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
711
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220393742
—
AR
Enumeration date
05/18/2017
Last updated
03/17/2018
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