Organization
PRO-ACTIVE REHAB INC.
Active
Parent organization
PRO-ACTIVE REHAB INC.
Other names
Malvern Physical Therapy & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRO-ACTIVE REHAB INC.
Authorized official
JAMES R LEE P.T. (OWNER)
(501) 778-4960
Entity
Organization
Contact information
Practice address
720 WALCO RD, SUITE 240, MALVERN, AR 72104
(501) 467-8275
(501) 467-8145
Mailing address
P.O. BOX 1890, BENTON, AR 72018
(501) 778-4960
(501) 778-4968
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1316
AR
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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