Organization
GRAND PRAIRIE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRIE ANN CUMMINGS P.T. (CO-OWNER)
(870) 946-8400
Entity
Organization
Contact information
Practice address
317 W 7TH ST, DE WITT, AR 72042-3279
(870) 946-8400
(870) 946-8511
Mailing address
317 W 7TH ST, DE WITT, AR 72042-3279
(870) 946-8400
(870) 946-8511
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139762742
—
AR
Enumeration date
06/15/2006
Last updated
06/25/2008
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