Organization
NEURORTHO REHAB SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGIN JOHN REGINIO P.T. (PRESIDENT)
(870) 534-0543
Entity
Organization
Contact information
Practice address
2502 W 28TH AVE, PINE BLUFF, AR 71603-5054
(870) 534-0543
(870) 534-0541
Mailing address
PO BOX 1750, PINE BLUFF, AR 71613-1750
(870) 534-0543
(870) 534-0541
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1522
AR
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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