Organization
SOUTHEAST ARKANSAS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE R HORNBECK P.T. (PRESIDENT)
(870) 541-0003
Entity
Organization
Contact information
Practice address
2801 S OLIVE ST, SUITE 9D, PINE BLUFF, AR 71603-5439
(870) 541-0003
(870) 541-0008
Mailing address
2801 S OLIVE ST, SUITE 9D, PINE BLUFF, AR 71603-5439
(870) 541-0003
(870) 541-0008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135098742
—
AR
01
—
147503400
DEPT OF LABOR
AR
01
—
5C236
HEALTH ADVANTAGE
AR
01
—
6420055
UNITED HEALTHCARE
AR
01
—
7099039
AETNA
AR
01
—
CB6528
MEDICARE RAILROAD
AR
Enumeration date
04/11/2006
Last updated
12/12/2012
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