Organization
CAVHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SABRA L WILSON (RECREATIONAL THERPIST)
(501) 257-3271
Entity
Organization
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3271
Mailing address
110 AMBER OAKS DR, SHERWOOD, AR 72120-2231
(501) 835-1664
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
25203
AR
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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