Organization
CHILDREN'S CENTER FOR DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY MOSES (MANAGER)
(479) 784-0001
Entity
Organization
Contact information
Practice address
1403 MAY AVE, FORT SMITH, AR 72901-2359
(479) 784-0001
Mailing address
1403 MAY AVE, FORT SMITH, AR 72901-2359
(479) 784-0001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA1938
AR
235Z00000X
Speech-Language Pathologist
Primary
SP#2310
AR
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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