Organization
ALLIED THERAPY AND CONSULTING SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH STAMP DPT (OWNER)
(501) 941-5630
Entity
Organization
Contact information
Practice address
5532 JFK BLVD, NORTH LITTLE ROCK, AR 72116-6708
(150) 158-8321
Mailing address
1500 WILSON LOOP, P.O. BOX 333, WARD, AR 72176-8656
(501) 941-5630
(501) 843-2270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122852742
—
AR
05
—
145863778
—
AR
05
—
312025742
—
AR
01
—
5C301
BLUE CROSS BLUE SHIELD
AR
Enumeration date
04/21/2006
Last updated
06/14/2024
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