Organization
PEDIATRICS PLUS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA DENTON MSPT (OWNER)
(501) 329-5459
Entity
Organization
Contact information
Practice address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738
Mailing address
1000 SWN DRIVE, SUITE 101, CONWAY, AR 72032-7836
(501) 328-3274
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139817742
—
AR
01
—
5C381
BLUE CROSS AND BLUE SHIEL
AR
Enumeration date
01/06/2007
Last updated
07/17/2025
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