Organization
CENTRAL ARKANSAS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL LOVELACE WADLEY (OWNER)
(501) 650-2677
Entity
Organization
Contact information
Practice address
1701 S HIGHWAY 161, JACKSONVILLE, AR 72076-5508
(501) 650-2677
Mailing address
8325 SAPPHIRE CV, SHERWOOD, AR 72120-2386
(501) 650-2677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 637
AR
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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