Organization
INCITE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MAINORD (CEO)
(501) 932-0050
Entity
Organization
Contact information
Practice address
824 SALEM RD, STE 220, CONWAY, AR 72034-4800
(501) 932-0050
(501) 932-0056
Mailing address
824 SALEM RD, STE 220, CONWAY, AR 72034-4800
(501) 932-0050
(501) 932-0056
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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