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Organization

PHYSICAL THERAPY CENTER OF SOUTH ARKANSAS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JARED CLINTON RHODES MS PT (OWNER PRESIDENT)
(870) 863-5100
Entity
Organization

Contact information

Practice address
215 N NEWTON AVE, EL DORADO, AR 71730-5421
(870) 863-5100
(870) 863-5102
Mailing address
215 N NEWTON AVE, EL DORADO, AR 71730-5421
(870) 863-5100
(870) 863-5102

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT2026
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5F055
BLUE CROSS BLUE SHIELD
AR
01
DC1211
MEDICARE RAILROAD
AR
Enumeration date
11/29/2006
Last updated
08/22/2020
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