Organization
SOURCE THERAPY SOLUTIONS PLLC
Active
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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