Organization
SPINE AND SPORTS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA LEE STOCKSTILL (OFFICE MANAGER)
(870) 741-1206
Entity
Organization
Contact information
Practice address
501 N MAIN ST, HARRISON, AR 72601-3535
(870) 741-1206
(870) 743-5974
Mailing address
PO BOX 861, HARRISON, AR 72602-0861
(870) 741-1206
(870) 743-5974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/06/2012
Last updated
03/07/2012
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