Organization
SOURCE THERAPY SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT SCHOULTZ PT, DPT (OWNER, CHIEF MANAGER, THERAPIST)
(501) 249-5354
Entity
Organization
Contact information
Practice address
1721 MARTIN LUTHER KING BLVD, SUITE I, MALVERN, AR 72104-2085
(501) 249-5354
Mailing address
1721 MARTIN LUTHER KING BLVD, SUITE I, MALVERN, AR 72104-2085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3097
AR
Other
Enumeration date
12/14/2012
Last updated
01/25/2021
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