Organization
TRILOGY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA WYATT (OWNER/MEMBER)
(501) 860-3500
Entity
Organization
Contact information
Practice address
8952 MARKET ST, SUITE 7, DOVER, AR 72837-9110
(501) 860-3500
Mailing address
8952 MARKET ST, SUITE 7, DOVER, AR 72837-9110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1789
AR
225X00000X
Occupational Therapist
OTR506
AR
235Z00000X
Speech-Language Pathologist
SLP 263
AR
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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