Organization
SPECIALIZED PHYSICAL THERAPY OF NWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN B ZIMMERMAN PT (OWNER/MEMBER)
(402) 981-1406
Entity
Organization
Contact information
Practice address
5001 W PAULINE WHITAKER PKWY STE 120, ROGERS, AR 72758-7341
(479) 202-0337
(479) 202-0338
Mailing address
3405 S 117TH ST, OMAHA, NE 68144-4642
(402) 981-1406
(866) 304-4838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/10/2019
Last updated
09/25/2024
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