Organization
BUILDING BRIDGES THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER N. POWELL SLPA (SPEECH PATHOLOGY ASSISTANT)
(501) 620-8801
Entity
Organization
Contact information
Practice address
316 BLACKFIN DR, RUSSELLVILLE, AR 72802-2295
(501) 467-0101
Mailing address
820 E HIGHWAY 171, HOT SPRINGS, AR 71913-8614
(501) 620-8801
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
06-005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162049721
—
AR
Enumeration date
05/14/2007
Last updated
06/16/2008
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