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Organization

REHABILITATION NETWORK OUTPATIENT SERVICES LLC

Active
Other names
Rehabilitation Network Outpatient Services LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BECKY ANNE CRENSHAW MRC, CRC (EXECUTIVE DIRECTOR)
(501) 548-6003
Entity
Organization

Contact information

Practice address
93 RODEN MILL RD, CONWAY, AR 72032-9555
(479) 858-2760
(479) 858-2760
Mailing address
PO BOX 202, CONWAY, AR 72033-0202
(501) 548-6003
(844) 209-1709

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
221336742
AR
Enumeration date
10/05/2017
Last updated
10/05/2017
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