Organization
UNITED CEREBRAL PALSY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA LYNN VANGILDER (CHIEF FINANCIAL OFFICER)
(501) 228-3813
Entity
Organization
Contact information
Practice address
9720 N RODNEY PARHAM RD, LITTLE ROCK, AR 72227-6212
(501) 224-6067
(501) 227-5591
Mailing address
9720 N RODNEY PARHAM RD, LITTLE ROCK, AR 72227-6212
(501) 224-6067
(501) 227-5591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115955742
—
AR
Enumeration date
08/14/2007
Last updated
04/24/2008
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