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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
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