Organization
REHABILITATION MEDICINE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE PATRICK BRADEN III D.O. (PRESIDENT)
(870) 934-1099
Entity
Organization
Contact information
Practice address
1201 FLEMING AVENUE, JONESBORO, AR 72401-3144
(870) 934-1099
(870) 974-5953
Mailing address
PO BOX 717, JONESBORO, AR 72403-0717
(870) 934-1099
(870) 974-5953
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MC-1520
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124731002
—
AR
01
—
MC-1520
ARKANSAS STATE LICENSE#
AR
Enumeration date
08/31/2006
Last updated
07/29/2014
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