Organization
COMPLETE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA JENNINGS (OWNER)
(501) 837-7216
Entity
Organization
Contact information
Practice address
6917 GEYER SPRINGS RD, SUITE 1-S, LITTLE ROCK, AR 72209-2727
(501) 570-4004
Mailing address
6917 GEYER SPRINGS RD, SUITE 1-S, LITTLE ROCK, AR 72209-2727
(501) 570-4004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2385
AR
225X00000X
Occupational Therapist
2013
AR
235Z00000X
Speech-Language Pathologist
1949
AR
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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