Organization
ANN L. RAEBEL, PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN L RAEBEL PT (PA)
(479) 631-7262
Entity
Organization
Contact information
Practice address
1420 S 8TH ST, ROGERS, AR 72756-5334
(479) 631-7262
(479) 631-6366
Mailing address
PO BOX 2234, ROGERS, AR 72757-2234
(479) 631-7262
(479) 631-6366
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1923
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T977
BLUE CROSS
AR
Enumeration date
06/20/2006
Last updated
08/22/2020
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