Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRADLEY (CEO)
(479) 463-6300
Entity
Organization
Contact information
Practice address
12 E APPLEBY RD, SUITE 104, FAYETTEVILLE, AR 72703-3901
(479) 463-6824
(479) 463-5653
Mailing address
12 E APPLEBY RD, SUITE 104, FAYETTEVILLE, AR 72703-3901
(479) 463-6824
(479) 463-5653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/23/2015
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