Organization
PRO ACTIVE REHAB, INC
Active
Organization
PRO ACTIVE REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN B MYERS PT (PRESIDENT)
(501) 778-4960
Entity
Organization
Contact information
Practice address
1308 MILITARY RD, BENTON, AR 72015-2911
(501) 778-4960
(501) 778-4968
Mailing address
PO BOX 1890, BENTON, AR 72018-1890
(501) 778-4960
(501) 778-4968
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 842
AR
Other
Enumeration date
10/03/2006
Last updated
12/05/2011
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