Organization
GUIDED PATH THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA DAWN JOHNSON PT (EXECUTIVE DIRECTOR/PT)
(501) 519-0964
Entity
Organization
Contact information
Practice address
1021 SHOBE RD, BRYANT, AR 72022-2447
(501) 213-0424
Mailing address
1021 SHOBE RD, BRYANT, AR 72022-2447
(501) 213-0424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143961721
—
AR
Enumeration date
05/04/2020
Last updated
05/04/2020
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