Organization
GLENWOOD PHYSICAL THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WILSON GEORGE M.P.T. (PRESIDENT)
(870) 356-6044
Entity
Organization
Contact information
Practice address
253 HIGHWAY 70 E, SUITE D, GLENWOOD, AR 71943-8801
(870) 356-6044
(870) 356-6045
Mailing address
253 HIGHWAY 70 E, SUITE D, GLENWOOD, AR 71943-8801
(870) 356-6044
(870) 356-6045
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C799
ARKANSAS BCBS
AR
Enumeration date
11/10/2005
Last updated
08/22/2020
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