Organization
WESTERN ARKANSAS PEDIATRIC REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA MARIE ROWLAND OTR (PRESIDENT)
(479) 965-2612
Entity
Organization
Contact information
Practice address
1919 CHARMONT DRIVE, CHARLESTON, AR 72933-0871
(479) 965-6752
Mailing address
PO BOX 871, CHARLESTON, AR 72933-0871
(479) 965-6752
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132403742
—
AR
Enumeration date
12/12/2006
Last updated
05/08/2019
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