Organization
AGAPE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN SALVADOR DE RUEDA P.T. (OWNER)
18708665981
Entity
Organization
Contact information
Practice address
145 BELLE AIRE CT, MONTICELLO, AR 71655-3852
(870) 866-5981
(870) 460-0946
Mailing address
145 BELLE AIRE CT, MONTICELLO, AR 71655-3852
(870) 866-5981
(870) 460-0946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2060
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161197742
—
AR
Enumeration date
04/07/2007
Last updated
07/14/2008
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