Organization
WORKPLACE PHYSICAL THERAPY
Active
Organization
WORKPLACE PHYSICAL THERAPY
Active
Other names
Delta Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
VAN H DAVIS MSPT (PRESIDENT)
(501) 833-2675
Entity
Organization
Contact information
Practice address
825 TRAMMEL RD, NORTH LITTLE ROCK, AR 72117-2155
(501) 833-2675
(501) 833-0325
Mailing address
PO BOX 6253, SHERWOOD, AR 72124-6253
(501) 833-2675
(501) 833-0325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2200
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142776721
—
AR
05
—
154767742
—
AR
Enumeration date
10/04/2006
Last updated
08/21/2008
Update your record
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