Organization
KINGS RIVER PHYSICAL THERAPY INC
Active
Organization
KINGS RIVER PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WADE HILL RPT (PRESIDENT)
(870) 423-3316
Entity
Organization
Contact information
Practice address
402 W COLLEGE AVE., BERRYVILLE, AR 72616-3142
(870) 423-3316
(870) 423-3177
Mailing address
402 W COLLEGE AVE., BERRYVILLE, AR 72616-3142
(870) 423-3316
(870) 423-3177
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT2047
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154777742
—
AR
01
—
5Y014
BCBS GROUP
AR
Enumeration date
05/30/2007
Last updated
05/06/2013
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